| Full Name | W Jack Mann Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 18 Dunlop, Shawnee, Oklahoma |
| Authorized Official Name and Position | William Jack Mann (OWNER) |
| Authorized Official Contact | 4052757520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W Jack Mann Dds Inc 18 Dunlop Shawnee OK 74804-3203 Ph: (405) 275-7520 | W Jack Mann Dds Inc 18 Dunlop Shawnee OK 74804-3203 Ph: (405) 275-7520 |
| NPI Number | 1750480737 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750480737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3728 (Oklahoma) | Primary |
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› Verified 5 days ago
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