| Mcloud Family Dentistry | |
|
403 W. Broadway Ave Mcloud OK 74851-8266 | |
| (405) 964-2500 | |
| (405) 964-2515 |
| Full Name | Mcloud Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 403 W. Broadway Ave, Mcloud, Oklahoma |
| Authorized Official Name and Position | Keith A Mehner (OWNER) |
| Authorized Official Contact | 4059642500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcloud Family Dentistry 403 W. Broadway Ave Mcloud OK 74851-8266 Ph: (405) 964-2500 | Mcloud Family Dentistry 403 W. Broadway Ave Mcloud OK 74851-8266 Ph: (405) 964-2500 |
| NPI Number | 1376947259 |
|---|---|
| Provider Enumeration Date | 10/21/2014 |
| Last Update Date | 10/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376947259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6201 (Oklahoma) | Primary |
Kickapoo Tribal Health Center Dental Clinic Medicare: Medicare Enrolled Practice Location: 105365 S. Hwy 102, Building M, Mcloud, OK 74851 Phone: 405-964-2081 Fax: 405-964-2053 | |
Mcloud Dental Center P.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 South 8th Street, Mcloud, OK 74851 Phone: 405-315-9066 | |
Mcloud Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 S 8th St, Mcloud, OK 74851 Phone: 405-395-2020 Fax: 405-395-2608 |