| Dr Jeffrey Jordan Wilson, DDS | |
|
1313 E 20th St, Okmulgee, OK 74447-6303 | |
| (918) 591-5721 | |
| Not Available |
| Full Name | Dr Jeffrey Jordan Wilson |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1313 E 20th St, Okmulgee, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235757568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7326 (Oklahoma) | Primary |
| Entity Name | Creek Nation Hospital & Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey Jordan Wilson, DDS 5528 E 107th St, Tulsa, OK 74137-7293 Ph: (918) 576-9293 | Dr Jeffrey Jordan Wilson, DDS 1313 E 20th St, Okmulgee, OK 74447-6303 Ph: (918) 591-5721 |
Andrew Steven Lambert, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1829 S Wood Dr, Okmulgee, OK 74447 Phone: 918-756-6500 |
Dr. Jerod Don Yaerger, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 505 S Muskogee Ave, Okmulgee, OK 74447 Phone: 918-758-0022 Fax: 918-756-2046 |
Dr. Nicholas Busby, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1313 E 20th St, Okmulgee, OK 74447 Phone: 918-591-5721 |
Dr. Gary Phillip Adolph, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 112 N Grand Ave, Okmulgee, OK 74447 Phone: 918-756-0270 Fax: 918-756-0283 |
Nehal M Patel, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1313 E 20th St, Okmulgee, OK 74447 Phone: 918-758-2700 Fax: 918-758-2703 |
Dr. K. Tim Mount, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 216 E 8th St, Okmulgee, OK 74447 Phone: 918-756-9363 Fax: 918-756-9364 |
Dr. Gerald Brett Anderson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 421 E. 5th St., Okmulgee, OK 74447 Phone: 918-493-7445 Fax: 918-295-6194 |