Gary Edward Mckenna in Morristown - Orthodontics And Dentofacial Orthopedics
Gary Edward Mckenna - NPI 1093704272
Gary Edward Mckenna is a Orthodontics And Dentofacial Orthopedics in Morristown, Tennessee. Gary Edward Mckenna practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Gary Edward Mckenna is 1093704272. The last update date is 2007-08-01.
Gary Edward Mckenna's current location address is 1314 Bales Dr, Morristown, Tennessee. You can contact this provider via phone number 4235819248. The mailing address for Gary Edward Mckenna is 1314 Bales Dr, Morristown, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Edward Mckenna |
|---|---|
| Address | 1314 Bales Dr, Morristown, Tennessee |
| Phone Number | 4235819248 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1093704272 |
|---|---|
| Provider Enumeration Date | 2005-10-19 |
| Last Updated Date | 2007-08-01 |
Provider Mailing Address Detail
| Address | 1314 Bales Dr |
|---|---|
| City | Morristown |
| State | Tennessee (TN) |
| Post Code | 378146102 |
| Phone Number | 4235819248 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | DS0000001671 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3223266 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gary Edward Mckenna by the Centers for Medicare & Medicaid Services (CMS)?
The Gary Edward Mckenna has been assigned the NPI (National Provider Identifier) 1093704272. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Gary Edward Mckenna?
The Gary Edward Mckenna is situated at 1314 Bales Dr, in the city of Morristown, state of TN, with the zip code 378146102.
What is Gary Edward Mckenna's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gary Edward Mckenna is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy classification code for this specialized field is 1223X0400X.
On what date did Gary Edward Mckenna receive its 1093704272 assignment from the Centers for Medicare & Medicaid Services?
The Gary Edward Mckenna was assigned its 1093704272 on 2005-10-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Gary Edward Mckenna most recently updated?
The details pertaining to the Gary Edward Mckenna, including its address, specialty, and other relevant information, were last refreshed on 2007-08-01.