| Mark T Kelly, | |
|
3637 Nw 39th St, Oklahoma City, OK 73112-6309 | |
| (405) 942-7755 | |
| Not Available |
| Full Name | Mark T Kelly |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 3637 Nw 39th St, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578656393 | NPI | - | NPPES |
| 1888656 | Other | OK | UNITED CONCORDIA |
| 200088150A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5869 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark T Kelly, 415 N Grand Ave, Pueblo, CO 81003-3111 Ph: (719) 546-3333 | Mark T Kelly, 3637 Nw 39th St, Oklahoma City, OK 73112-6309 Ph: (405) 942-7755 |
Dr. Jana S Winfree, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6510 S Western Ave Ste 101, Oklahoma City, OK 73139 Phone: 405-634-7303 Fax: 405-634-7868 | |
Phuong Tran, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7101 Nw 150th St Ste 100, Oklahoma City, OK 73142 Phone: 405-896-7997 | |
Dr. Siddharth Verma, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5691 Tinker Diagonal, Oklahoma City, OK 73110 Phone: 405-458-5020 | |
Dr. Crystal Rajan, Dentist Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-1000 | |
Dr. Myron S Hilton, D.D.S., M.P.H. Dentist Medicare: Medicare Enrolled Practice Location: 4500 Memorial Cir, Oklahoma City, OK 73142 Phone: 405-748-6000 Fax: 405-749-5900 | |
George Frans Currier, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1201 N Stonewall Ave, Room 494, Oklahoma City, OK 73117 Phone: 405-271-5714 Fax: 405-271-2405 | |
Dr. Jonathan R Jeffery, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: My Dentist 4420 I-40 Service Road, Oklahoma City, OK 73108 Phone: 405-948-8779 Fax: 405-948-8773 |