Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK G OKERSTROM, DDS, PA
Active Sole ProprietorJACK G OKERSTROM, DDS, PA is a Orthodontics healthcare provider located in PRAIRIE VILLAGE, Kansas. NPI 1295846947 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · PRAIRIE VILLAGE, KS
Registration Details
- NPI Number
- 1295846947
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.971298545836 yrs)
- Last Updated
- Dec 19, 2013
- License
-
KS52000 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4026 W. 83RD STPRAIRIE VILLAGE, KS, 66208Browse KS providers · Browse ZIP 66208
- Phone
- 9134699191
- Fax
- 9134512251
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in PRAIRIE VILLAGE, KS
| Name | Credential | NPI |
|---|---|---|
| KELLY HUNTER TOOMBS | DDS | 1346263720 |
| DR. SARA ADAMS OLIVER | D.D.S. | 1750491700 |
| DR. DANIEL JOSEPH HUERTER | DDS | 1659410108 |
| DR. BRADLEY MICHEL HERMAN | DDS | 1093237729 |
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.