# MCALESTER CHILDREN'S DENTAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841572591
- **Authorized official:** DR. JANNA CHERYL MCINTOSH DDS (PRESIDENT)
- **Authorized official phone:** (918) 423-2897

## Contact information

- **Practice address:** 329 W CARL ALBERT PKWY, MCALESTER, OK 74501-4418
- **Practice address phone:** (918) 423-2897
- **Mailing address:** 329 W CARL ALBERT PKWY, MCALESTER, OK 74501-4418
- **Mailing address phone:** (918) 423-2897
- **Mailing address fax:** (918) 423-0905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 5023 | OK | Yes |

## Other

- **Enumeration date:** 09/19/2011
- **Last updated:** 09/19/2011