JOHNNY L. MCKINNON, JR., D.D.S., P.A.
NPI 1376712075
Dentist - General Practice in Mt. Gilead, NC

Q: What is Johnny L. Mckinnon, Jr., D.D.S., P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since February 27, 2008

407 NORTH MAIN STREET, MT. GILEAD, NC 27306(910) 439-9744(910) 439-4113 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Johnny L. Mckinnon, Jr., D.d.s., P.a. NPPES

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

JOHNNY L. MCKINNON, JR., D.D.S., P.A. (NPI 1376712075) is a healthcare organization registered as a general practice in Mt. Gilead, North Carolina and active in the NPI registry since February 2008. The organization lists Johnny L. Mckinnon, President/dentist, as its authorized official.

NPPES Registry Identity

NPI1376712075

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameJOHNNY L. MCKINNON, JR., D.D.S., P.A.

Location Address407 NORTH MAIN STREETMt. Gilead, NC 27306-0022

Mailing AddressPo Box 22, 407 North Main StreetMount Gilead, NC 27306-0022 · (910) 439-9744 · Fax (910) 439-4113

Phone(910) 439-9744

Fax(910) 439-4113

Organization SubpartNo

Authorized OfficialJohnny L. MckinnonPresident/dentist · (910) 439-9744

Enumeration DateFebruary 27, 2008

✔ NPI 1376712075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NC · 6063

Definition

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.

407 NORTH MAIN STREET, Mt. Gilead, NC 27306

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Other Identifiers 1

Medicaid8995803NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnny L. Mckinnon, Jr., D.D.S., P.A.'s NPI number?

The NPI number for Johnny L. Mckinnon, Jr., D.D.S., P.A. is 1376712075. It was assigned to this organization in the NPPES registry on February 27, 2008.

Where is Johnny L. Mckinnon, Jr., D.D.S., P.A. located?

Johnny L. Mckinnon, Jr., D.D.S., P.A. is located at 407 North Main Street, Mt. Gilead, NC 27306. The listed phone number is (910) 439-9744.

What is Johnny L. Mckinnon, Jr., D.D.S., P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Johnny L. Mckinnon, Jr., D.D.S., P.A. was last updated on February 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.