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NPI Code Detail

MEDICARE: DR. JOE FRANK MALTSBERGER DDS

MEDICARE: DR. JOE FRANK MALTSBERGER DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist4258OK
21223G0001XGeneral Practice Dentistry2022040631MO
3122300000XDentistDEN.00205507CO

General Provider Information

NPI Number : 1912012279
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOE FRANK MALTSBERGER DDS
Provider Business Mailing Address
First Line : PO BOX 519
Second Line :
City : OOLOGAH
State : OK
Zip : 74053-0519
Country : US
Telephone Number : 918-443-2431
Fax Number : 918-443-2438
Provider Business Practice Location Address
First Line : 6980 MESA RIDGE PKWY STE 200
Second Line :
City : FOUNTAIN
State : CO
Zip : 80817-1563
Country : US
Telephone Number : 918-230-4789
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 01/13/2026

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