McAlester Children's Dental Clinic

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5023 Issued in OK

Legal business name

MCALESTER CHILDREN'S DENTAL CLINIC

Practice address

329 W Carl Albert Pkwy
McAlester, OK 74501-4418

Phone

(918) 423-2897

NPI assigned

Sep 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Janna Cheryl McIntosh, DDSNPI 1770655656

Title

President

Phone

(918) 423-2897

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Janna Cheryl McIntosh, DDS

  • Pediatric Dentistry
  • McAlester, OK
  • NPI 1770655656
  NPD (past) Authorized official
• Tara Denton, DDS

  • Pediatric Dentistry
  • Tulsa, OK
  • NPI 1548827769
  NPD (past)

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1841572591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 W CARL ALBERT PKWY",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014418",
            "telephone_number": "918-423-2897",
            "fax_number": "918-423-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 W CARL ALBERT PKWY",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014418",
            "telephone_number": "918-423-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCALESTER CHILDREN'S DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "JANNA",
        "authorized_official_middle_name": "CHERYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-423-2897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "5023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100119570",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Nicole Mazzare, O.D.
• McAlester Ambulatory Surgery Center, LLC
• McAlester Anesthesia and Respiratory Services Inc
• McAlester Anesthesia and Respiratory Services, Inc
• McAlester Care Associates
• McAlester Dentistry & Braces
• McAlester Express Pharmacy, LLC (McAlester Express Pharmacy)
• McAlester Heart, PC
• McAlester Imaging Associates LLC (McAlester Diagnostic Imaging)
• McAlester Manor Inc

• Dental Clinic/Center in McAlester, OK
• Providers in McAlester, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.