Russell Fuller Mckinley, DDS is a general practice dentist in Boise, ID. The provider is 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. Russell Fuller Mckinley, DDS NPI is 1457370686. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2600 ROSE HILL
STE 100
BOISE, ID
ZIP 83705
Phone: (208) 345-1386
Fax: (208) 345-2995
The NPI 1457370686 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 7/19/2006 and was last updated on 7/8/2007.