Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE BOONE
ActiveJAKE BOONE is a Orthodontics healthcare provider located in BETHANY, Oklahoma. NPI 1649914938 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · BETHANY, OK
Registration Details
- NPI Number
- 1649914938
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2022 (4.267611455179 yrs)
- Last Updated
- Feb 19, 2026
- License
-
7560 (OK)
Practice Information
- Address
-
7221 NW 23RD ST UNIT C-DBETHANY, OK, 730085131Browse OK providers · Browse ZIP 73008
- Phone
- 4053678147
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in BETHANY, OK
| Name | Credential | NPI |
|---|---|---|
| DR. JACK WILLIAM BALENSEIFEN | DDS, MS. | 1053485433 |
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.