Zane Grey Mills, DDS
Individual provider Active NPI General Practice Dentistry · Fairfax, OK
NPI 1134978596 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1134978596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7850 (OK)
- Practice address
- 161 N 2ND St
Fairfax, OK 74637-2063 - Phone
- (620) 216-0466
- NPI assigned
- May 16, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Dentist
- Education
- University of Oklahoma College of Dentistry, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
212 N Main St
Fairfax, OK 74637-3023
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7850 | OK | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfax Dental Office PLLC | Current |
Accepting new patients | |
| Fairfax Medical Facilities Inc | Past | Accepting new patients | |
| Fairfax Medical Facilities Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7850 | OK | Yes |
Addresses
Primary practice location
161 N 2ND St
Fairfax, OK 74637-2063
Mailing address
158 N 2ND St
Fairfax, OK 74637
Phone (620) 216-0466
Other providers in Fairfax, OK
- Lindsey Hester
- Dana Suzanne Howard
- Paul Francis Ley Jr.
- Madison Medical LLC
- Michael S Ben Inc PC
- Oklahoma Advantage Storehouse, LLC
- Oklahoma Home Health LLC
- Osage Skies Hospice Group Inc
- Elmer Gari Owens
- Wanda W Priddy
All providers in Fairfax, OK · General Practice Dentistry in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.