Megan Belken, DDS

Individual provider Active NPI General Practice Dentistry · Keene, TX

NPI 1306132840 · NPPES record last updated Dec 26, 2012

Key facts

NPI
1306132840
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
28369 (TX)
Practice address
428 S Old Betsy Rd
Suite C
Keene, TX 76059-1411
Phone
(817) 641-0000
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2901020489MIMDDentist
28369TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Keene Family Dental, PA General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901020489 MI
General Practice Dentistry 1223G0001X 28369 TX Yes

Addresses

Primary practice location

428 S Old Betsy Rd
Suite C
Keene, TX 76059-1411

Mailing address

428 S Old Betsy Rd
Suite C
Keene, TX 76059-1411
Phone (817) 641-0000

Other providers in Keene, TX

All providers in Keene, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.