Jerry W. Dickson D.d.s., Inc. | |
820 Allison Ave Chandler OK 74834-3834 | |
(405) 258-1042 | |
(405) 258-5009 |
Full Name | Jerry W. Dickson D.d.s., Inc. |
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Speciality | Dentist |
Location | 820 Allison Ave, Chandler, Oklahoma |
Authorized Official Name and Position | Jerry W. Dickson (PRESIDENT/OWNER) |
Authorized Official Contact | 4052581042 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jerry W. Dickson D.d.s., Inc. Po Box 489 Chandler OK 74834-0489 Ph: (405) 258-1042 | Jerry W. Dickson D.d.s., Inc. 820 Allison Ave Chandler OK 74834-3834 Ph: (405) 258-1042 |
NPI Number | 1538321716 |
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Provider Enumeration Date | 06/27/2008 |
Last Update Date | 06/27/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538321716 | NPI | - | NPPES |
100090810 A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4968 (Oklahoma) | Primary |
Chandler Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1516 S Iowa Ave, Chandler, OK 74834 Phone: 405-258-2684 Fax: 405-258-5353 | |
Chandler Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1516 S Iowa, Chandler, OK 74834 Phone: 405-258-2684 Fax: 405-258-5353 | |
Chandler Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1605 E 1st St Ste A, Chandler, OK 74834 Phone: 405-328-7602 |