Jerry W. Dickson D.d.s., Inc.

NPI #1538321716 in Chandler, Oklahoma

Provider Information

NPI Number: 1538321716
Entity Type: Organization
Organization Name: Jerry W. Dickson D.d.s., Inc.
Primary Specialty: Dentist
Enumeration Date: Jun 27, 2008
Last Updated: Jun 27, 2008

Practice Location

Address: 820 ALLISON AVE
City: Chandler
State: Oklahoma
ZIP Code: 74834-3834
Phone: (405) 258-1042

Authorized Official

Name: DR. JERRY W. DICKSON, D.D.S.
Title: PRESIDENT/OWNER
Phone: (405) 258-1042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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