| Jay P. Fitzgerald, Dds, Ms, Pc | |
|
444 36th Ave Nw Norman OK 73072-4703 | |
| (405) 360-7716 | |
| (405) 360-0047 |
| Full Name | Jay P. Fitzgerald, Dds, Ms, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 444 36th Ave Nw, Norman, Oklahoma |
| Authorized Official Name and Position | Jay Fitzgerald (OWNER) |
| Authorized Official Contact | 4053607716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay P. Fitzgerald, Dds, Ms, Pc 444 36th Ave Nw Norman OK 73072-4703 Ph: (405) 360-7716 | Jay P. Fitzgerald, Dds, Ms, Pc 444 36th Ave Nw Norman OK 73072-4703 Ph: (405) 360-7716 |
| NPI Number | 1407004096 |
|---|---|
| Provider Enumeration Date | 09/08/2008 |
| Last Update Date | 09/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407004096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4871 (Oklahoma) | Primary |
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