Jerry Jack DDS

  • NPI 1265463467
According to our database, the NPI number for Jerry Jack DDS is 1265463467 and activated since 17 years ago. Jerry Jack DDS is an individual provider who specializes in General Practice, and the primary practice location is 1740 N Service Rd, Moore, OK 73160. You can also contact Jerry Jack DDS via telephone number is (405) 794-7200. Provider NPI information was last updated on 07/08/2007.

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Overview of Jerry Jack DDS

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/05/2006
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 1223G0001X
  • Specialty: General Practice
  • License Number: 3903
  • License State: OK

Provider Mailing Address

  • Address: 555 W Benjamin Holt Dr
    Building B
    Stockton, CA 95207
  • Phone: 209-476-4700
  • Fax: 209-478-6890

Provider Practice Location

  • Address: 1740 N Service Rd
    Moore, OK 73160
  • Phone: 405-794-7200
  • Fax: 405-794-2266

Scope of Practice

  • Taxonomy Code: 1223G0001X
  • Specialty: General Practice
  • License Number: 3903
  • License State: OK
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jerry Jack DDS?
  • A: The npi number for Jerry Jack DDS is 1265463467.
  • Q: What are Jerry Jack DDS's specialties?
  • A: Jerry Jack DDS's specialties are General Practice and different specialities.
  • Q: What is the medical license for Jerry Jack DDS?
  • A: The medical license number for Jerry Jack DDS is 3903 and issued in OK in USA.
  • Q: Where is Jerry Jack DDS practice location?
  • A: Jerry Jack DDS is practicing at 1740 N Service Rd, Moore, OK 73160.
  • Q: How to contact Jerry Jack DDS?
  • A: You can contact Jerry Jack DDS via 405-794-7200.
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