DR. THERESA LYNN MCKINNEY D.D.S.
NPI 1285831123
Dentist in Pocatello, ID

Active since July 02, 2007
1525 BANNOCK HWY, POCATELLO, ID 83204(208) 233-2230 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 16, 2025, May 14, 2025, Jul 26, 2023 and 1 more (4 updates tracked since 2023).

About Dr. Theresa Lynn Mckinney D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THERESA LYNN MCKINNEY D.D.S. (NPI 1285831123) is an individual dentist in Pocatello, Idaho, licensed in Idaho (D-5457) and active in the NPI registry since July 2007. She maintains a secondary practice location in Pocatello.

NPPES Registry Identity

NPI1285831123
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. THERESA LYNN MCKINNEYCredential: D.D.S.
Location Address1525 BANNOCK HWYPocatello, ID 83204-3509
Mailing Address9272 W Charlotte DrPocatello, ID 83204-7210 · (208) 852-6963
Sole ProprietorYes
Enumeration DateJuly 2, 2007
Last NPPES UpdateJune 16, 20254 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
NPI 1285831123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in ID · D-5457
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1525 BANNOCK HWY, Pocatello, ID 83204

Secondary Practice Location 1

Location 19272 W Charlotte DrPocatello, ID 83204-7210 · Phone (208) 852-6963

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1525 BANNOCK HWY
POCATELLO, ID 83204
Dentist (General Practice)
1525 BANNOCK HWY
POCATELLO, ID 83204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285831123, enumerated as an "individual" on July 02, 2007.

The provider is located at 1525 BANNOCK HWY POCATELLO, ID 83204 and the phone number is (208) 233-2230.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.