Johnny L Mckinnon Jr, DDS is a
Dentist - General Practice based in Mount Gilead, North Carolina. Johnny L Mckinnon Jr is licensed to practice in North Carolina (license number 6063) and his current practice location is
407 N Main St, Mount Gilead, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(910) 439-9744.
NPI number for Johnny L Mckinnon Jr is 1124129341 and his current mailing address is Po Box 22, Mount Gilead, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124129341.
Healthcare Provider's Profile
| Full Name | Johnny L Mckinnon Jr |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 407 N Main St, Mount Gilead, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124129341
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Johnny L Mckinnon Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124129341 | NPI | - | NPPES |
| 8995803 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 6063 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johnny L Mckinnon Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Johnny L Mckinnon Jr, DDS
Po Box 22,
Mount Gilead, NC 27306-0022
Ph: (910) 439-9744 | Johnny L Mckinnon Jr, DDS
407 N Main St,
Mount Gilead, NC 27306-0407
Ph: (910) 439-9744 |
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