Provider Demographics
NPI:1962845354
Name:MCKINNEY, JOI M (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOI
Middle Name:M
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-3516
Mailing Address - Country:US
Mailing Address - Phone:469-464-3850
Mailing Address - Fax:469-464-3859
Practice Address - Street 1:2203 W. UNIVERSITY DRIVE
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201
Practice Address - Country:US
Practice Address - Phone:940-442-5929
Practice Address - Fax:940-442-5949
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18755122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist