Rudyard G Mckennon is a Spokane, Washington based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Rudyard G Mckennon is 9903 for General Practice Dentistry in Washington. His current practice location is 407 W Riverside Ave, Ste 864, Spokane. Patients can reach him at 509-624-5303.
Rudyard G Mckennon is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Rudyard G Mckennon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Rudyard G Mckennon
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
407 W Riverside Ave, Ste 864, Spokane, Washington, 99201
Phone:
509-624-5303
Fax:
509-624-3044
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1134284052
NPI Enumeration Date:
22 Dec, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rudyard G Mckennon are as mentioned below.
License Number
Specialization
State
Status
9903
General Practice Dentistry
Washington
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Rudyard G Mckennon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5048129
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
407 W Riverside Ave, Ste 864 Spokane, Washington
Zip:
99201
Phone Number:
509-624-5303
Fax Number:
509-624-3044
Patients can reach Rudyard G Mckennon at 407 W Riverside Ave, Ste 864, Spokane, Washington or can call to book an appointment on 509-624-5303. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.