| T M Mckenna Inc | |
|
453 Lafayette Center Manchester MO 63011-3943 | |
| (636) 394-5215 | |
| Not Available |
| Full Name | T M Mckenna Inc |
|---|---|
| Speciality | Dentist |
| Location | 453 Lafayette Center, Manchester, Missouri |
| Authorized Official Name and Position | Terry Michael Mckenna (OWNER) |
| Authorized Official Contact | 6363945215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T M Mckenna Inc 453 Lafayette Center Manchester MO 63011-3943 Ph: (636) 394-5215 | T M Mckenna Inc 453 Lafayette Center Manchester MO 63011-3943 Ph: (636) 394-5215 |
| NPI Number | 1639236185 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639236185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12263 (Missouri) | Primary |
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