Jerry Jack is a Moore, Oklahoma based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jerry Jack is 3903 for General Practice Dentistry in Oklahoma. His current practice location is 1740 N Service Rd, Moore. Patients can reach him at 405-794-7200.
Jerry Jack is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jerry Jack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Jerry Jack
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
1740 N Service Rd, Moore, Oklahoma, 73160-3307
Phone:
405-794-7200
Fax:
405-794-2266
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1265463467
NPI Enumeration Date:
05 Jul, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jerry Jack are as mentioned below.
License Number
Specialization
State
Status
3903
General Practice Dentistry
Oklahoma
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
555 W Benjamin Holt Dr, Building B Stockton, California
Zip:
95207-3839
Phone Number:
209-476-4700
Fax Number:
209-478-6890
Patients can reach Jerry Jack at 1740 N Service Rd, Moore, Oklahoma or can call to book an appointment on 405-794-7200. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.