| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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, Chandler, OK 74834 Phone: 405-328-7602 |