DR. KEITH M MCCLUNG (NPI# 1144372616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144372616 |
| Entity Type | Individual |
| Full Name | DR. KEITH M MCCLUNG |
| Credential | DDS |
| Practice Address |
221b Hwy 463 N Suite B Truman AR 72472 |
| Practice Telephone | 8704835011 |
| Practice Fax Number | 8704837057 |
| Mailing Telephone | 8704835011 |
| Mailing Fax Number | 8704837057 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2355 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | DELTA DENTAL | 0410 | 01 |
| TN | BCBS | 3122554 | 01 |
| AETNA | 5751202 | 01 | |
| PA | UCCI | 101964 | 01 |
| AR | BCBS | 58746 | 01 |
| Street Address |
221B HWY 463 N SUITE B |
| City | TRUMAN |
| State | AR |
| Zip Code | 72472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039980 | First Step Arkansas, LLC | Occupational Therapist | 528 Industrial Park Access Rd, Trumann, AR 72472 | 2020-06-26 |
| 1982254710 | Brent A Davis | Physical Therapist | 516 Industrial Park Access Rd, Trumann, AR 72472 | 2019-09-13 |
| 1760992911 | Lorraine Irene Devries | Technician | 1316 Industrial Acess Drive, Trumann, AR 72472 | 2017-10-02 |
| 1902326226 | Logan Michael Schmidt | Dentist | 1711 Hwy 69 Blvd, Trumann, AR 72472 | 2017-06-27 |
| 1619228830 | Daniel Edward Ward | Case Manager/Care Coordinator | 1704 Hwy, 69, Trumann, AR 72472 | 2012-09-27 |
| 1003197542 | Mashae D. Rolland | Nurse Practitioner | 808 Highway 463 N, Trumann, AR 72472 | 2011-08-29 |
| 1982984118 | Denise Jackson | Case Manager/Care Coordinator | 1704 Highway 69, Trumann, AR 72472 | 2011-08-19 |
| 1134410467 | Dalisha Lareece Smith | Clinical Ethicist | 1704 Hwy. 69, Trumann, AR 72472 | 2011-04-20 |
| 1164727202 | Margaret Ann Peters | Case Manager/Care Coordinator | 809 West Main Suite C, Trumann, AR 72472 | 2011-01-21 |
| 1134379357 | Jeremiah Daniel Dillehay | Counselor | 170 4 Hwy. 69, Trumann, AR 72472 | 2008-09-24 |
| Find all providers in zip 72472 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285624072 | Michael N. Lampi | Dentist | 403 N 4th Ave E, Truman, MN 56088-1108 | 2005-10-24 |
| 1326422817 | Christopher Olsen | Dentist | 403 N 4th Ave E, Truman, MN 56088-1108 | 2015-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743352 | Varsha Patel | Dentist | 130 Harkrider St, Conway, AR 72032-6623 | 2020-09-04 |
| 1174132914 | John S Teed | Dentist | 800 Vista Cv, Marion, AR 72364-9704 | 2020-07-28 |
| 1891303509 | Brandt Thomas Cooper | Dentist | 1685 Airport Rd, Hot Springs, AR 71913-7951 | 2020-07-20 |
| 1174141667 | Anslee Latourette | Dentist | 8239 Rogers Ave, Fort Smith, AR 72903-5553 | 2020-07-10 |
| 1073139960 | Leona C. Kemper, Dds, Pa | Dentist | 6189 Heber Springs Rd West, Quitman, AR 72131 | 2020-06-17 |
| 1225652670 | David Barry Riggs | Dentist | 800 Locust Ave, Conway, AR 72034-5331 | 2020-06-02 |
| 1497378137 | Evgeny Titov | Dentist | 2501 Market Trce Ste A, Fort Smith, AR 72908-8881 | 2020-05-28 |
| 1306469382 | Phipps Family Dentistry | Dentist | 807 W Centerton Blvd, Centerton, AR 72719-9705 | 2020-05-25 |
| 1831711910 | Brian Lane D D S Pa | Dentist | 17 Eagle Park Dr, Vilonia, AR 72173-9050 | 2020-05-12 |
| 1215557897 | Wh Ar Dental Pllc | Dentist | 4870 Elm Springs Rd Ste B, Springdale, AR 72762-3749 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.