JERRY JACK, DDS
Dentist - General Practice
Active
Individual
NPI: 1265463467
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 3903 (OK) |
Frequently Asked Questions
NPI 1265463467 is the National Provider Identifier for JERRY JACK, DDS, a Dentist - General Practice provider located in Moore, OK. This NPI was enumerated on July 5, 2006.
JERRY JACK, DDS practices at 1740 N SERVICE RD, Moore, OK 73160.
Quick Facts
- NPI
- 1265463467
- Type
- Individual
- Enumerated
- Jul 5, 2006
- Last Updated
- Jul 8, 2007
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