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General NPI Number Information
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NPI Number | 1265639439
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Entity Type | Organization
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Legal Business Name | TIMOTHY L. MCKINNEY DDS P.C.
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 169 S RIVER RD
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City | BEDFORD
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State | NH
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Zip | 03110-6971
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Country | US
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Telephone | 603-625-6456
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Fax | 603-627-6556
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Provider Business Mailing Address
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Address Line | 169 S RIVER RD
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City | BEDFORD
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State | NH
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Zip | 03110-6971
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Country | US
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Telephone | 603-625-6456
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Fax | 603-627-6556
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TIMOTHY L. MCKINNEY
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Credential | DDS
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Telephone | 603-625-6456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 2163
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License Number State | NH
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