MEDICARE: DR. TONY LANE MCKINNEY D.M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2870	AL

General Provider Information

NPI Number	:	1831289164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TONY LANE MCKINNEY D.M.D

Provider Business Mailing Address
First Line	:	116 COFFEE ST E
Second Line	:
City	:	TALLADEGA
State	:	AL
Zip	:	35160-2402
Country	:	US
Telephone Number	:	256-362-8511
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 COFFEE ST E
Second Line	:
City	:	TALLADEGA
State	:	AL
Zip	:	35160-2402
Country	:	US
Telephone Number	:	256-362-8511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	03/08/2026

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