PHILLIP M. MCKEAN PROFESSIONAL CORPORATION
NPI 1699324103
Dentist - General Practice in Fort Wayne, IN

Q: What is Phillip M. Mckean Professional Corporation's specialty?

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

Active since September 06, 2019

6605 E STATE BLVD STE 7, FORT WAYNE, IN 46815(260) 486-2339(260) 486-3219 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Phillip M. Mckean Professional Corporation NPPES

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

PHILLIP M. MCKEAN PROFESSIONAL CORPORATION (NPI 1699324103) is a healthcare organization registered as a general practice in Fort Wayne, Indiana and active in the NPI registry since September 2019. The organization lists Vickey Ray Hullinger, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1699324103

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePHILLIP M. MCKEAN PROFESSIONAL CORPORATION

Location Address6605 E STATE BLVD STE 7Fort Wayne, IN 46815-7036

Mailing Address6605 E State Blvd Ste 7Fort Wayne, IN 46815-7036 · (260) 486-2339 · Fax (260) 486-3219

Phone(260) 486-2339

Fax(260) 486-3219

Organization SubpartNo

Authorized OfficialVickey Ray HullingerOffice Manager · (260) 486-2339

Enumeration DateSeptember 6, 2019

✔ NPI 1699324103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

6605 E STATE BLVD STE 7, Fort Wayne, IN 46815

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Other Identifiers 1

Medicaid300028091IN

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 Phillip M. Mckean Professional Corporation's NPI number?

The NPI number for Phillip M. Mckean Professional Corporation is 1699324103. It was assigned to this organization in the NPPES registry on September 6, 2019.

Where is Phillip M. Mckean Professional Corporation located?

Phillip M. Mckean Professional Corporation is located at 6605 E State Blvd Ste 7, Fort Wayne, IN 46815. The listed phone number is (260) 486-2339.

What is Phillip M. Mckean Professional Corporation'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 Phillip M. Mckean Professional Corporation was last updated on September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.