Jackson, Douglas Wayne
Jackson, Douglas Wayne is an individual health care provider with primary practice located at 5540 S 79Th E Place , Tulsa OK 74145-7846. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jackson, Douglas Wayne can be contacted via phone (918) 663-0284.Contact Information
Primary practice address
5540 S 79Th E Place
Tulsa OK 74145-7846
Phone: (918) 663-0284
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3534 | Oklahoma |
Profile Details
| NPI number | 1245367655 |
|---|---|
| LBN Legal business name | Jackson, Douglas Wayne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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