Aaron Martin Neale, D.D.S.
Individual provider Active NPI General Practice Dentistry · Blackwell, OK
NPI 1750602124 · NPPES record last updated Aug 19, 2013
Key facts
- NPI
- 1750602124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6204 (OK)
- Practice address
- 1520 S Main St
Blackwell, OK 74631-4941 - Phone
- (918) 960-4013
- NPI assigned
- Jun 18, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160622002310 | OK | Order and Referring Only - Oral Surgery |
6507157526 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6204 | OK | Yes |
Addresses
Primary practice location
1520 S Main St
Blackwell, OK 74631-4941
Mailing address
1520 S Main St
Blackwell, OK 74631-4941
Phone (918) 960-4013
Other providers in Blackwell, OK
- Ronald Lee Matheson
- Tammy Lynn Mayden
- Tracy Rene McAreavey
- McGuire Cares Medical, Co.
- Sarah Elizabeth McGuire
- Noda PLLC
- Northern Oklahoma Dental Associates PLLC
- Northern Therapy & Rehabilitation, Inc
- Oklahoma City Vamc
- Oklahoma Emergency Physician Partners PLLC
All providers in Blackwell, 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 Aug 19, 2013. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.