Mckenna, Gary Edward

Mckenna, Gary Edward is an individual health care provider with primary practice located at 424 N High St , Morristown TN 37814-3863. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Mckenna, Gary Edward can be contacted via phone (423) 581-1611.

Contact Information

Primary practice address
424 N High St Morristown TN 37814-3863
Phone: (423) 581-1611
Fax: (423) 581-2045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DS0000001671 Tennessee

Profile Details

NPI number 1093704272
LBN Legal business name Mckenna, Gary Edward
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Aug 1st, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093704272 NPPES
Tennessee MEDICAID 3223266

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