Provider Demographics
NPI:1659574762
Name:MCKINNEY, ERIN KAY (RDH, DMD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:KAY
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:RDH, DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30012 N CAVE CREEK RD
Mailing Address - Street 2:STE 100
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-5833
Mailing Address - Country:US
Mailing Address - Phone:480-488-0686
Mailing Address - Fax:480-488-8586
Practice Address - Street 1:30012 N CAVE CREEK RD
Practice Address - Street 2:STE 100
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-5833
Practice Address - Country:US
Practice Address - Phone:480-488-0686
Practice Address - Fax:480-488-8586
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD72381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice