Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY JACK, DDS
ActiveJERRY JACK, DDS is a General Dentistry healthcare provider located in MOORE, Oklahoma. NPI 1265463467 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MOORE, OK
Registration Details
- NPI Number
- 1265463467
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2006 (20.080106514119 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3903 (OK)
Practice Information
- Address
-
1740 N SERVICE RDMOORE, OK, 731603307Browse OK providers · Browse ZIP 73160
- Phone
- 4057947200
- Fax
- 4057942266
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in MOORE, OK
| Name | Credential | NPI |
|---|---|---|
| JIMMY J RICHARDSON | DDS | 1053313924 |
| STEPHANIE KAY WENDT | D.D.S | 1457367831 |
| MR. RICHARD MURRY FREEMAN | DDS | 1184734352 |
| NEIL WILLIAM AYERS | DDS | 1659481810 |
| DR. ROBERT BRADLEY TRENT | D.D.S. | 1487798815 |
| DR. BRETT ALAN LEEMASTER | DDS | 1467655068 |
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.