JACKIE LEE MCKINNIS (NPI# 1326066291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326066291 |
| Entity Type | Individual |
| Full Name | JACKIE LEE MCKINNIS |
| Credential | D.D.S. |
| Practice Address |
2101 Nw Ferris Ave Lawton OK 73507 |
| Mailing Address |
2101 Nw. Ferris Ave Lawton OK 73507 |
| Practice Telephone | 5803571581 |
| Practice Fax Number | 5803574123 |
| Mailing Telephone | 5803571581 |
| Mailing Fax Number | 5803574123 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2016-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3118 | OK | Dental Providers |
| Street Address |
2101 NW FERRIS AVE |
| City | LAWTON |
| State | OK |
| Zip Code | 73507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720619935 | Kori Wren Wiegmann | Registered Nurse | 1515 Nw Lawrie Tatum Road, Lawton, OK 73507 | 2020-01-28 |
| 1013424027 | Liane Jacobson | Registered Nurse | 1515 Laurie Tatum Road, Adult Care Clinic 2, Lawton, OK 73507 | 2017-12-29 |
| 1649727041 | Rachel Ayala | Dietitian, Registered | 2811 Nw Hilltop Dr, Lawton, OK 73507 | 2016-09-02 |
| 1811370471 | William S, Davies, M.d., Inc. | Psychiatric Residential Treatment Facility | 1302 N, W, Lake Ave, Lawton, OK 73507 | 2015-07-01 |
| 1538554894 | Ashlee A Haugen-lewis | Behavioral Analyst | 4121 W Gore, Lawton, OK 73507 | 2015-04-03 |
| 1003188970 | Jenny Rae Mohon | Registered Nurse | 1515 North East Lawrie Tatum Road, Usphs Lawton Indian Hospital, Lawton, OK 73507 | 2012-02-07 |
| 1558548578 | Dawn M Griffith | Registered Nurse | 1515 Lawrie Tatum Dr., Lawton, OK 73507 | 2008-01-22 |
| 1275605172 | Judy Weiss | Pharmacist | 524 Lawrie Tatum Rd, Lawton, OK 73507 | 2006-11-15 |
| 1790895894 | William Spalding Davies | Psychiatry & Neurology | 1302 Lake Ave, Lawton, OK 73507 | 2006-08-30 |
| 1275646374 | Phillip Lynn Aday | Dentist | 1116 Nw Arlington, Lawton, OK 73507 | 2006-08-16 |
| Find all providers in zip 73507 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871090548 | Lawton Dental Group Pllc | Dentist | 916 Sw 38th St Ste B, Lawton, OK 73505-7005 | 2018-04-10 |
| 1063880441 | Kassidy E Legako | Dentist | 6707 Nw Oak Dale Dr, Lawton, OK 73505-1261 | 2015-09-02 |
| 1821418831 | Okc Dental Health Associates, P.C. | Dentist | 2111 Nw Cache Rd, Lawton, OK 73505-5213 | 2014-04-17 |
| 1285873000 | Erin J Howard | Dentist | 29 Nw Lakewood Dr, Lawton, OK 73505-3737 | 2009-02-18 |
| 1457519779 | David J. Harrell | Dentist | 4417 W Gore Blvd Ste 10, Lawton, OK 73505-5978 | 2008-05-23 |
| 1003002916 | James Bernerd Clevering | Dentist | 415 W Gore Blvd, Lawton, OK 73501-3710 | 2007-09-25 |
| 1770638439 | Ernest E. Sheppard | Dentist | 4206 Sw Lee Blvd, Lawton, OK 73505-8331 | 2007-01-24 |
| 1295894004 | Brett Randal Warn | Dentist | 502 Nw Sheridan Rd Ste 5, Lawton, OK 73505-6505 | 2006-12-07 |
| 1740379643 | Robert Edward Muller Jr. | Dentist | 1301 Nw 63rd St, Lawton, OK 73505-4355 | 2006-10-11 |
| 1144328998 | James Beauford Lutz | Dentist | 60 N Sheridan, Ste 7, Lawton, OK 73505 | 2006-09-20 |
| Find all providers in LAWTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.