Jerry Jack, DDS | |
1740 N Service Rd, Moore, OK 73160-3307 | |
(405) 794-7200 | |
(405) 794-2266 |
Full Name | Jerry Jack |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 1740 N Service Rd, Moore, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265463467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3903 (Oklahoma) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jerry Jack, DDS 555 W Benjamin Holt Dr, Building B, Stockton, CA 95207-3839 Ph: (209) 476-4700 | Jerry Jack, DDS 1740 N Service Rd, Moore, OK 73160-3307 Ph: (405) 794-7200 |
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Dr. Leta Langford, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2305 S I-35, Moore, OK 73160 Phone: 405-799-7529 Fax: 405-799-0802 | |
Dr. Chad Douglas Spiva, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 808 Ne 19th St, Moore, OK 73160 Phone: 405-799-5529 Fax: 405-799-8223 | |
Jimmy J Richardson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 840 Se 4th St, Suite 3a, Moore, OK 73160 Phone: 405-799-7071 Fax: 405-794-5597 | |
Mattie Elizabeth Eddleman, Dentist Medicare: Not Enrolled in Medicare Practice Location: 780 Sw 19th St, Moore, OK 73160 Phone: 402-669-2590 | |
Dr. James Allen Hulsey, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2709 S I 35 Service Rd Ste B, Moore, OK 73160 Phone: 405-237-4979 | |
Mr. Richard Murry Freeman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 500 N Eastern Ave, Moore, OK 73160 Phone: 405-912-3300 Fax: 405-912-2278 | |
Dallin Bryan Harris, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 811 Sw 19th St Ste A, Moore, OK 73160 Phone: 405-703-5161 |