DR. Jerry Bob Nick, D.D.S

NPI #1558475392 in Okmulgee, Oklahoma

Provider Information

NPI Number
1558475392
Entity Type
Individual
Name
DR. Jerry Bob Nick, D.D.S
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S
Enumeration Date
Aug 18, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1015 E 6TH ST
ZIP Code
74447-4705
Phone
(918) 758-0022

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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