# KEITH A. MEHNER, D.D.S.,P.L.L.C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** McLoud Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376947259
- **Authorized official:** KEITH A MEHNER DDS (OWNER)
- **Authorized official phone:** (405) 964-2500

## Contact information

- **Practice address:** 403 W. BROADWAY AVE, MCLOUD, OK 74851-8266
- **Practice address phone:** (405) 964-2500
- **Practice address fax:** (405) 964-2515
- **Mailing address:** 403 W. BROADWAY AVE, MCLOUD, OK 74851-8266
- **Mailing address phone:** (405) 964-2500
- **Mailing address fax:** (405) 964-2515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6201 | OK | Yes |

## Other

- **Enumeration date:** 10/21/2014
- **Last updated:** 10/21/2014