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MCKINNEY PERIODONTICS NPI 1952889925


NPI Information

NPI: 1952889925
Provider Name: MCKINNEY PERIODONTICS
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

CLIA Number: 45D1088484

Address:
7785 ELDORADO PKWY STE 100
MCKINNEY, TX
ZIP 75070
Phone: (972) 569-8448
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MCKINNEY PERIODONTICS is a periodontics dentist in Mckinney, TX. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. MCKINNEY PERIODONTICS NPI is 1952889925. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7785 ELDORADO PKWY STE 100
MCKINNEY, TX
ZIP 75070-615
Phone: (972) 569-8448
Fax: (214) 206-8978

The provider's authorized official is Krista Adams .
The authorized official title is Insurance Coordinator and has the following contact phone number (972) 569-8448.

The CLIA number assigned to this NPI record is 45D1088484 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2018 and was last updated on 8/1/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodonticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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