Provider Demographics
NPI:1013040476
Name:MCKINNEY, ARTHUR LORENZO (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:LORENZO
Last Name:MCKINNEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3114 GEORGIA AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2902
Mailing Address - Country:US
Mailing Address - Phone:202-291-1610
Mailing Address - Fax:202-291-1449
Practice Address - Street 1:3114 GEORGIA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2902
Practice Address - Country:US
Practice Address - Phone:202-291-1610
Practice Address - Fax:202-291-1449
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN2336122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered122300000XDental ProvidersDentist
Not Answered1223G0001XDental ProvidersDentistGeneral Practice