DR. KEITH ALLEN MEHNER (NPI# 1649595869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649595869 |
| Entity Type | Individual |
| Full Name | DR. KEITH ALLEN MEHNER |
| Credential | DDS |
| Practice Address |
403 West Broadway Avenue Mcloud OK 74851 |
| Practice Telephone | 4059642500 |
| Practice Fax Number | 4059642515 |
| Mailing Telephone | 4059642500 |
| Mailing Fax Number | 4059642515 |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2014-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6201 | OK | Dental Providers |
| Street Address |
403 WEST BROADWAY AVENUE |
| City | MCLOUD |
| State | OK |
| Zip Code | 74851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770039489 | Victoria Morris | Counselor | 13251 S. Mcloud Rd., Mcloud, OK 74851 | 2016-09-01 |
| 1922417674 | Brenda Davis | Registered Nurse | 105365 South Hwy 102, Mcloud, OK 74851 | 2014-08-07 |
| 1710390323 | Mcloud Dental Center P.l.l.c. | Dentist | 806 South 8th Street, Mcloud, OK 74851 | 2014-06-11 |
| 1508116542 | Kathryn Dean Jones | Pharmacist | 105365 South Highway 102, Mcloud, OK 74851 | 2012-09-18 |
| 1407128572 | Kickapoo Health Center | Counselor | 105365 S.highway 102, Mcloud, OK 74851 | 2012-02-03 |
| 1326349549 | Lisa A Lauderdale | Pharmacist | 409 North Hwy 102, Mcloud, OK 74851 | 2010-11-04 |
| 1265733539 | Mark I Gomez | Counselor | 105365 Highway102, Mcloud, OK 74851 | 2010-11-03 |
| 1396055679 | Cynthia Seger | Dietitian, Registered | 407 N. Highway 102, Mcloud, OK 74851 | 2010-10-20 |
| 1326203480 | Tyler Wellhausen | Pharmacist | 409 N Hwy 102, Mcloud, OK 74851 | 2008-07-28 |
| 1902069206 | Moira Ambrose Redcorn | Psychiatry & Neurology | 105365 S. Highway 102, Mcloud, OK 74851 | 2008-07-07 |
| Find all providers in zip 74851 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215249271 | William Reed IIi | Dentist | 105365 S Hwy 102, Mcloud, OK 74851 | 2010-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808928 | Dentists of Oklahoma City, PC | Dentist | 12200 N Macarthur Blvd Ste I, Oklahoma City, OK 73162-1849 | 2020-10-13 |
| 1548874977 | Syed Hammad Reza | Dentist | 840 S Lynn Riggs Blvd, Claremore, OK 74017-8301 | 2020-09-02 |
| 1114538063 | Utica Family Dentistry Pllc | Dentist | 1720 S Utica Ave, Tulsa, OK 74104-5318 | 2020-08-13 |
| 1679183420 | Dentists of Moore and Orthodontics | Dentist | 740 Sw 19th St Ste C, Moore, OK 73160-3062 | 2020-08-06 |
| 1770192635 | Joseph Ghazal | Dentist | 1520 S Main St # 1, Blackwell, OK 74631-4921 | 2020-07-27 |
| 1326656570 | Cheryl Fleming | Dentist | 7810 E. 121st St. S., Bixby, OK 74008 | 2020-07-14 |
| 1679190953 | Harmon Denture Clinic LLC | Dentist | 104 E Mcelroy Rd Ste 4, Stillwater, OK 74075-3803 | 2020-07-02 |
| 1548887946 | Hometown Dental of Yukon Pllc | Dentist | 1315 Holly Ave, Yukon, OK 73099-5407 | 2020-07-01 |
| 1093332959 | Graham Thomas Shadwick | Dentist | 1201 N Stonewall Ave Rm 241, Oklahoma City, OK 73117-1214 | 2020-06-26 |
| 1053937854 | Nathan Sethman | Dentist | 1410 N Louis Tittle Ave, Mangum, OK 73554-2218 | 2020-06-18 |
| 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.