Individual provider · Type 1 NPI
Russell Fuller McKinley, DDS
General Practice Dentistry · Boise, ID
NPI number
1457370686
Active
Practice location
2600 Rose Hill, Ste 100
Boise, ID 83705
Fax (208) 345-2995
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D1869 (ID) |
General Practice Dentistry: 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.
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About NPI 1457370686
Russell Fuller McKinley, DDS's National Provider Identifier is 1457370686, issued on Jul 19, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.