Provider Demographics
NPI:1205961471
Name:KINNEE, TERRI L (DDS)
Entity type:Individual
Prefix:
First Name:TERRI
Middle Name:L
Last Name:KINNEE
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 1:3143 E 29TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-4815
Mailing Address - Country:US
Mailing Address - Phone:702-631-3530
Mailing Address - Fax:702-631-3529
Practice Address - Street 1:3143 E 29TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-4815
Practice Address - Country:US
Practice Address - Phone:702-631-3530
Practice Address - Fax:702-631-3529
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV29841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice