Kickapoo Tribal Health Center is a renowned Dental office in Mcloud, Oklahoma. It is located at 105365 S. Hwy 102, Building M, Mcloud, OK and its contact number is 405-964-2081. The authorized person for Kickapoo Tribal Health Center is Mr. Janetta Mahtapene
who is Health Director of the place and their contact number is 405-964-2081.
Kickapoo Tribal Health Center Office is a healthcare facility where dedicated dental team composed of licensed professionals, including dentists (DDS or DMD), dental hygienists, dental assistants, and administrative staff (manage appointments, billing, and patient records) provides preventive, diagnostic, and therapeutic oral health services like oral exams and X-rays, fillings, fluoride treatments, teeth cleanings, implants, crowns, bridges, tooth extractions, root canals, and cosmetic procedures such as teeth whitening, braces and veneers to patients through outpatient care.
Complete Profile:
Kickapoo Tribal Health Center Office speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Kickapoo Tribal Health Center
Specialization:
Dentistry
Address:
105365 S. Hwy 102, Building M, Mcloud, Oklahoma, 74851
Phone:
405-964-2081
Fax:
405-964-2053
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this Office are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Janetta Mahtapene
Position:
Health Director
Contact Number:
405-964-2081
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Kickapoo Tribal Health Center Office are as mentioned below.
NPI Number:
1265518203
NPI Enumeration Date:
31 Oct, 2006
NPI Last Update On:
02 Nov, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kickapoo Tribal Health Center are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
Primary
Dental
Secondary
Adult Mental Health
Secondary
Adolescent and Children Mental Health
Secondary
Radiology
Secondary
Clinical Medical Laboratory
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the Office such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100700140A
Medicaid
Oklahoma
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kickapoo Tribal Health Center Po Box 1360, Mcloud, Oklahoma
Zip:
74851-1360
Phone Number:
405-964-2081
Fax Number:
405-964-2053
Patients can reach Kickapoo Tribal Health Center at 105365 S. Hwy 102, Building M, Mcloud, Oklahoma or can call to book an appointment on 405-964-2081. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.