Keys Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5496 Issued in OK

Legal business name

KEYS FAMILY DENTISTRY

Practice address

26245 Highway 82
Suite 2
Park Hill, OK 74451-3802

Phone

(918) 458-5140

Fax

(918) 458-5155

NPI assigned

Oct 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jerry D Snell II, DDSNPI 1720142060

Title

Owner

Phone

(918) 458-5140

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry D Snell II, D.D.S

  • General Practice Dentistry
  • Park Hill, OK
  • NPI 1720142060
  NPD (past) Authorized official

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1801047725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26245 HIGHWAY 82",
            "address_2": "SUITE 2",
            "city": "PARK HILL",
            "state": "OK",
            "postal_code": "744513802",
            "telephone_number": "918-458-5140",
            "fax_number": "918-458-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26245 HIGHWAY 82",
            "address_2": "SUITE 2",
            "city": "PARK HILL",
            "state": "OK",
            "postal_code": "744513802",
            "telephone_number": "918-458-5140",
            "fax_number": "918-458-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "SNELL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-458-5140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200039590A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doris Ann Halpain, BHRS
• Carla Renee Hayes, ARNP-CNP
• Jordan Hitchcock, PHARMD
• Patricia Blanche Holderby, MSED
• Keys Chiropractic Clinic LLC
• Keys Family Eye Care PLC
• Keys Family Health Clinic
• Keys Public School
• Kevin Evins Klinger
• Dorthy Jean Maxey

• General Practice Dentistry in Park Hill, OK
• Providers in Park Hill, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.