JACKIE LEE MCKINNIS (D.D.S.) – General Practice Dentistry, NPI 1326066291

JACKIE LEE MCKINNIS (D.D.S.) is a healthcare provider. based in Lawton, Oklahoma. specializing in General Practice Dentistry. They hold the professional credentials D.D.S.. They hold a License No. 3118 (OK). The NPI Number for JACKIE LEE MCKINNIS (D.D.S.) is 1326066291

Main info

Male
Sole Proprietor
Name
JACKIE LEE MCKINNIS (D.D.S.)
NPI
1326066291
Phone
(580) 357-1581
Address
2101 NW. FERRIS AVE
Enumeration Date
18 July 2006
Last Update Date
14 March 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JACKIE LEE MCKINNIS (D.D.S.)

  • 2101, Northwest Ferris Avenue, Lawton, Comanche County, Oklahoma, 73507, United States

    LAWTON, OK 73507

    Phone: (580) 357-1581

    Fax: (580) 357-4123

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-02-24

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73507)

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Reviews

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Frequently asked questions

Does JACKIE LEE MCKINNIS (D.D.S.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JACKIE LEE MCKINNIS (D.D.S.) uses 1326066291.
Is JACKIE LEE MCKINNIS (D.D.S.) listed as active for patients and plans?
The listing shows JACKIE LEE MCKINNIS (D.D.S.) as active in the NPI system.
What taxonomy line describes JACKIE LEE MCKINNIS (D.D.S.)?
For research purposes, treat JACKIE LEE MCKINNIS (D.D.S.) as General Practice Dentistry in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JACKIE LEE MCKINNIS (D.D.S.)?
JACKIE LEE MCKINNIS (D.D.S.)'s geographic hint is Lawton, Oklahoma in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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