Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK T DANCER I, M.D.
ActiveJACK T DANCER I, M.D. is a General Surgery healthcare provider located in STILLWATER, Oklahoma. NPI 1235212630 is currently active in the NPPES registry. Verify at CMS.
General Surgery · STILLWATER, OK
Registration Details
- NPI Number
- 1235212630
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2006 (19.832030618411 yrs)
- Last Updated
- Jul 8, 2007
- License
-
7845 (OK)
Practice Information
- Address
-
1301 W 6TH AVESUITE 105STILLWATER, OK, 740744375Browse OK providers · Browse ZIP 74074
- Phone
- 4055331074
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in STILLWATER, OK
| Name | Credential | NPI |
|---|---|---|
| CARA DENISE PENCE | M.D. | 1467502138 |
| JERROD LEE VAUGHN | M.D. | 1326245804 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.