Ivan McKinney, DDS

General Practice Dentistry · Tyler, TX

Individual Active NPI

NPI number 1720207673

Practice location

3802 Brookside Dr
Tyler, TX 75701-9420
Phone
(903) 581-0581
Fax
(903) 581-3978

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NPI record

NPI
1720207673
Entity type
Individual (Type 1)
Enumeration date
April 25, 2007
Last updated
June 12, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 10724 TX

About Dr. McKinney

Ivan McKinney, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3802 Brookside Dr, Tyler, TX 75701-9420. The NPI number 1720207673 was assigned on April 25, 2007 and the record was last updated on June 12, 2008.

Dr. McKinney lists a license in the registry: #10724 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ivan McKinney, DDS?

The NPI number is 1720207673.

What is the phone number of Dr. McKinney?

The phone number listed for the practice location is (903) 581-0581.

Where is Dr. McKinney located?

3802 Brookside Dr, Tyler, TX 75701-9420.

What is the taxonomy code for Dr. McKinney?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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