Jeffrey A. Meckfessel, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN-DEN-LIC-28426 Issued in MT

Practice address

107 H St
Poplar, MT 59255-7817

Phone

(406) 768-2200

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1548338767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "city": "POPLAR",
            "state": "MT",
            "postal_code": "592551027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 H ST",
            "city": "POPLAR",
            "state": "MT",
            "postal_code": "592557817",
            "telephone_number": "406-768-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 6th Ave N",
            "address_purpose": "LOCATION",
            "city": "Wolf Point",
            "state": "MT",
            "postal_code": "592016000",
            "country_code": "US",
            "telephone_number": "406-653-1641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MECKFESSEL",
        "first_name": "JEFFREY",
        "middle_name": "A.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "SD1319",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "DEN-DEN-LIC-28426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joellen Lynn Maurer, RPH
• Terry McAnally
• Madonna McConnell
• Mary C. McCormick, RD
• Floyd Pedro McMillan Jr., PHARMD
• Max Garrison Mitchell, RN
• Bradley A Moran, PHARMD
• Jennifer Moran
• Sharlene Malisa Mosley
• Don Nelson, D.D.S. , M.S.D.

• General Practice Dentistry in Poplar, MT
• Providers in Poplar, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.