Provider Demographics
NPI:1467539049
Name:CAREL, MONTE J (DDS)
Entity Type:Individual
Prefix:MR
First Name:MONTE
Middle Name:J
Last Name:CAREL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1318
Mailing Address - Street 2:
Mailing Address - City:MUSTANG
Mailing Address - State:OK
Mailing Address - Zip Code:73064-8318
Mailing Address - Country:US
Mailing Address - Phone:405-256-6262
Mailing Address - Fax:405-256-6675
Practice Address - Street 1:317 S SARA ROAD
Practice Address - Street 2:
Practice Address - City:MUSTANG
Practice Address - State:OK
Practice Address - Zip Code:73064-8318
Practice Address - Country:US
Practice Address - Phone:405-256-6262
Practice Address - Fax:405-256-6675
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK55981223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice