Roley Dale McIntosh, DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

4039 Issued in OK

Practice address

900 Birkes Rd
Eufaula, OK 74432-4023

Phone

(918) 689-2583

Fax

(918) 618-4204

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• S. P, McIntosh, DDS, PLLC

  • Dental Clinic/Center
  • Eufaula, OK
  • NPI 1760656771
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821081118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 899",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744320899",
            "telephone_number": "918-689-2583",
            "fax_number": "918-618-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BIRKES RD",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744324023",
            "telephone_number": "918-689-2583",
            "fax_number": "918-618-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "ROLEY",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "DDS PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "4039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallie Lovett, RN
• Beverly Ann Mantooth
• McAlester Regional Dialysis Center, LLC (Eufaula Dialysis Center)
• Danielle McGraw, LM, CPM
• Karissa Suzanne McIntosh
• Stanley P McIntosh, D.D.S.
• Med-Trans Corporation
• April Minor
• Kayla Montgomery, LMT
• Tisha Morgan, SLP

• Dentist in Eufaula, OK
• Providers in Eufaula, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.