Jacob William Buster Mendenhall
MD | Dentist
10900 Hefner Pointe Dr, Suite 204, Oklahoma City
Oklahoma, 73120-5082
405-463-0044 405-463-0010
Maps & DirectionsJacob William Buster Mendenhall is a Oklahoma City, Oklahoma based Dentist who is specialized in
Dentist. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jacob William Buster Mendenhall is
148 for Oral and Maxillofacial Surgery in Oklahoma. His current practice location is
10900 Hefner Pointe Dr, Suite 204, Oklahoma City. Patients can reach him at
405-463-0044.
Jacob William Buster Mendenhall is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jacob William Buster Mendenhall speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Jacob William Buster Mendenhall |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | MD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 10900 Hefner Pointe Dr, Suite 204, Oklahoma City,
Oklahoma, 73120-5082 |
| Phone: | 405-463-0044 |
| Fax: | 405-463-0010 |
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 are as mentioned below.
| NPI Number: | 1033252937 |
| NPI Enumeration Date: | 14 Feb, 2007 |
| NPI Last Update On: | 08 Dec, 2010 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacob William Buster Mendenhall are as mentioned below.
| License Number | Specialization | State | Status | |
| 148 | Oral and Maxillofacial Surgery | Oklahoma | Primary | |
| 5823 | Oral & Maxillofacial Surgery | Oklahoma | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jacob William Buster Mendenhall such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200185210A | Medicaid | Oklahoma | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 10900 Hefner Pointe Dr, Suite 204
Oklahoma City, Oklahoma |
| Zip: | 73120-5082 |
| Phone Number: | 405-463-0004 |
| Fax Number: | 405-463-0010 |
Patients can reach Jacob William Buster Mendenhall at
10900 Hefner Pointe Dr, Suite 204, Oklahoma City, Oklahoma or can
call to book an appointment on 405-463-0044.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.