Mckenzie, Philip Evan

Mckenzie, Philip Evan is an individual health care provider with primary practice located at 3360 Northdale Blvd Nw , Coon Rapids MN 55448-1601. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Mckenzie, Philip Evan can be contacted via phone (763) 233-3322.

Contact Information

Primary practice address
3360 Northdale Blvd Nw Coon Rapids MN 55448-1601
Phone: (763) 233-3322
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X D13597 Minnesota

Profile Details

NPI number 1619385556
LBN Legal business name Mckenzie, Philip Evan
Credentials DDS, MS, FRCDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2014
Last updated Dec 7th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers