person
Jerry Jack, DDS
General Practice Dentistry in Moore, Oklahoma
NPI 1265463467

Jerry Jack is a General Practice Dentistry based in Stockton, OK and is specialized in General Practice. Jerry Jack practices in Moore, OK and has the professional credentials of DDS. The NPI Number for Jerry Jack is 1265463467 and holds a License No. 3903 (Oklahoma).

The current practice location address for Jerry Jack is 1740 N Service Rd, Moore, OK and can be reached out via phone at 405-794-7200 and via fax at 405-794-2266.

Location: 1740 N Service Rd, Moore, OK, 95207-3839
person
Provider Profile Details
NPI Number
1265463467
Provider Name
Jerry Jack
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1740 N Service Rd, Moore, OK, 95207-3839
Phone Number
405-794-7200
Fax Number
405-794-2266
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1740 N Service Rd
City
State
Zip
73160-3307
Phone Number
405-794-7200
Fax Number
405-794-2266
person
Provider Business Mailing Address Details
Address
1740 N Service Rd
City
State
Zip
73160-3307
Phone Number
405-794-7200
Fax Number
405-794-2266
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
3903 (Oklahoma)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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