Individual provider · Type 1 NPI

Jerry Jack, DDS

General Practice Dentistry · Moore, OK

NPI number 1265463467 Active

Practice location

1740 N Service Rd
Moore, OK 73160-3307

Call (405) 794-7200 Map

Fax (405) 794-2266

Mailing address

555 W Benjamin Holt Dr, Building B
Stockton, CA 95207-3839

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X3903 (OK)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Another provider at this address

Other general practice dentistry providers in Moore

See all in Moore →

About NPI 1265463467

Jerry Jack, DDS's National Provider Identifier is 1265463467, issued on Jul 5, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Moore, OK. The record was last updated on Jul 8, 2007.