Provider Demographics
NPI:1922991454
Name:KELLINGDENTALPLLC
Entity type:Organization
Organization Name:KELLINGDENTALPLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:KEELING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:405-789-5552
Mailing Address - Street 1:3804 N MACARTHUR BLVD
Mailing Address - Street 2:
Mailing Address - City:WARR ACRES
Mailing Address - State:OK
Mailing Address - Zip Code:73122-2016
Mailing Address - Country:US
Mailing Address - Phone:405-789-5552
Mailing Address - Fax:405-789-8201
Practice Address - Street 1:3804 N MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:WARR ACRES
Practice Address - State:OK
Practice Address - Zip Code:73122-2016
Practice Address - Country:US
Practice Address - Phone:405-789-5552
Practice Address - Fax:405-789-8201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental