Individual provider · Type 1 NPI
Jacy Rae Glover-Secrest, DDS
General Practice Dentistry · Moore, OK
NPI number
1356967079
Active
Practice location
700 S Eastern Ave
Moore, OK 73160-6199
Mailing address
9301 Straka Rd
Oklahoma City, OK 73165-9630
Other practice locations
- 201 S Berry Rd, Norman, OK 73069-5412 · (405) 360-3800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | T7301 (OK) |
| Dentist | 122300000X | 7301 (OK) |
| General Practice Dentistry Primary | 1223G0001X | 7301 (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.
Other general practice dentistry providers in Moore
- Leta Langford, DDSGeneral Practice Dentistry Moore, OK NPI 1003045469
- Jimmy J. Richardson, DDSGeneral Practice Dentistry Moore, OK NPI 1053313924
- Mattie Elizabeth EddlemanGeneral Practice Dentistry Moore, OK NPI 1083346241
- Joshua M. Fox, DDSGeneral Practice Dentistry Moore, OK NPI 1124811716
- Richard Murry Freeman, DDSGeneral Practice Dentistry Moore, OK NPI 1184734352
- Jerry Jack, DDSGeneral Practice Dentistry Moore, OK NPI 1265463467
- Larry D. Leemaster, DDSGeneral Practice Dentistry Moore, OK NPI 1326225509
- Stephanie Kay Wendt, D.D.SGeneral Practice Dentistry Moore, OK NPI 1457367831
About NPI 1356967079
Jacy Rae Glover-Secrest, DDS's National Provider Identifier is 1356967079, issued on Jun 18, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Moore, OK. The record was last updated on Aug 25, 2025.