Provider Demographics
NPI:1508490384
Name:RAND E. MCKINLEY DDS PC
Entity Type:Organization
Organization Name:RAND E. MCKINLEY DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:RAND
Authorized Official - Middle Name:E
Authorized Official - Last Name:MCKINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:269-963-8256
Mailing Address - Street 1:882 CAPITAL AVE SW
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-3584
Mailing Address - Country:US
Mailing Address - Phone:269-963-8256
Mailing Address - Fax:269-963-8051
Practice Address - Street 1:882 CAPITAL AVE SW
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-3584
Practice Address - Country:US
Practice Address - Phone:269-963-8256
Practice Address - Fax:269-963-8051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty