Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033975974 Individual Practitioner Male Practitioner

Dr. Michael Mckinnie , DDS

Dentist • Tullahoma, TN

Professional Overview & Biography Verified Profile Summary

Dr. Michael Mckinnie, DDS is a registered healthcare professional specializing in Dentist in Tullahoma, TN. Practice services are available at 2111 N JACKSON ST STE 109 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2111 N Jackson St Ste 109

Tullahoma, TN 373882288

Telephone 9314550950
Associated Practice Facility / Clinic
🏢 Ihs Of New York Inc Facility NPI 1073549192

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Tullahoma, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.4 Yrs
Regional Practice Density
9 Specialists

Practicing in Tullahoma, TN (1629 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-01
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TN 12546

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
William Owens

Dentist - General Practice

NPI 1770640401

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address January 01, 2026

Registered at 1400 PELHAM PKWY S, BRONX, NY 104611197

📍
Updated Practice Location July 28, 2024

Registered at 2111 N JACKSON ST STE 109, TULLAHOMA, TN 373882288 (Tel: 9314550950)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2024

Dentist (License #12546 in TN)

NPI Profile Active February 27, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2024

Registered at 2034 N STATE ROUTE 50, BOURBONNAIS, IL 609144410 (Tel: 8152920222)

📍
Updated Business Mailing Address February 27, 2024

Registered at 8740 S PRINCETON AVE, CHICAGO, IL 606201322 (Tel: 7733683702)

👤
Provider Name / Credentials Updated February 27, 2024

Recorded as MICHAEL MCKINNIE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 27, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033975974
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2024
Last Update: January 01, 2026
Sole Proprietor: No

Mailing Address

1400 Pelham Pkwy S

Bronx, NY 104611197

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.