Whalio Doctors

NPI 1003336215

James Nathan McKenna, DDS

Practitioner Dentist Phoenix, AZ

Practice location

Address
230 S 12th Ave, Phoenix, AZ 85007-3101
Phone
(602) 362-0744
Mailing address
1145 10th Ave E Unit 318, Seattle, WA 98102-4086

Registered specialties (2)

Dentist Primary
Dental Providers Taxonomy 122300000X Licence D009935 (AZ)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1003336215
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Jun 2017
Record last updated
9 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.