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Contact Information

JENKS DENTAL CO., PLLC
725 W MAIN ST
JENKS, OK74037-3518
 Phone: 918-528-3230
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
 

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for JENKS DENTAL CO., PLLC

NPI # 1134921646
LBN Legal business name JENKS DENTAL CO., PLLC
Authorized official CREED CARDON - (PRESIDENT/DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/25/2025
Last updated 03/25/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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