Innovative Dental Specialists of Mckinney Pllc

NPI #1891569513 in Mckinney, Texas

Provider Information

NPI Number: 1891569513
Entity Type: Organization
Organization Name: Innovative Dental Specialists of Mckinney Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 13, 2023
Last Updated: Nov 13, 2023

Practice Location

Address: 6020 VIRGINIA PARKWAY STE 100
City: Mckinney
State: Texas
ZIP Code: 75071
Phone: (469) 448-0066

Authorized Official

Name: JENNY GARCIA-ROCHA
Title: SR CREDENTIALING TEAM LEAD
Phone: (972) 869-3789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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