| Jerry L. Thorman, Dds, Inc. | |
|
500 E 8th St Okmulgee OK 74447-5503 | |
| (918) 756-4933 | |
| (918) 756-7781 |
| Full Name | Jerry L. Thorman, Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 500 E 8th St, Okmulgee, Oklahoma |
| Authorized Official Name and Position | Jerry L. Thorman (PRESIDENT) |
| Authorized Official Contact | 9187564933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry L. Thorman, Dds, Inc. 500 E 8th St Okmulgee OK 74447-5503 Ph: (918) 756-4933 | Jerry L. Thorman, Dds, Inc. 500 E 8th St Okmulgee OK 74447-5503 Ph: (918) 756-4933 |
| NPI Number | 1851566731 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851566731 | NPI | - | NPPES |
| 100122240A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3202 (Oklahoma) | Primary |
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