Individual provider · Type 1 NPI
Jake Boone
Orthodontics and Dentofacial Orthopedics Dentistry · Bethany, OK
Practice location
7221 NW 23rd St Unit C-D
Bethany, OK 73008-5131
Mailing address
301 W Kings Rd
Ada, OK 74820-8219
Other practice locations
- 304 N Monte Vista St, Ada, OK 74820-4607 · (580) 436-5111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 7560 (OK) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
About NPI 1649914938
Jake Boone's National Provider Identifier is 1649914938, issued on Apr 23, 2022. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Bethany, OK. The record was last updated on Feb 19, 2026.