Jake Madsen, D.M.D

NPI #1134675747 in Fort Sill, Oklahoma

Provider Information

NPI Number: 1134675747
Entity Type: Individual
Name: Jake Madsen, D.M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D
Enumeration Date: Sep 1, 2016
Last Updated: Sep 1, 2016

Practice Location

Address: 652 HAMILTON RD.
City: Fort Sill
State: Oklahoma
ZIP Code: 73503
Phone: (580) 442-3905

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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