James Andrew Macrobert, DDS
Individual provider Active NPI General Practice Dentistry · Mangum, OK
NPI 1649280710 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1649280710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2808 (OK)
- Practice address
- 230 E Jefferson St
Mangum, OK 73554-4202 - Phone
- (580) 782-2552
- Fax
- (580) 782-9266
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2808 | OK | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shortgrass Community Health Center, Inc | Past | Accepting new patients | |
| Ez Sleep Solutions, Inc. | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2808 | OK | Yes |
Addresses
Primary practice location
230 E Jefferson St
Mangum, OK 73554-4202
Mailing address
110 W Harrison St
Mangum, OK 73554-3002
Phone (580) 782-2552
Other providers in Mangum, OK
- Shelly J Larson
- Angela Little
- Dustin Curt Lively
- Benjamin Moses Locklear
- Della Logsdon
- Mangum City Hospital Authority
- Mangum City Hospital Authority
- Mangum City Hospital Authority
- Mangum City Hospital Authority
- Mangum Drug Co. LLC
All providers in Mangum, 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 Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.