Jeffrey Jordan Wilson, DDS

Dentist · Okmulgee, OK

Individual Active NPI

NPI number 1235757568

Practice location

1313 E 20TH St
Okmulgee, OK 74447-6303
Phone
(918) 591-5721

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NPI record

NPI
1235757568
Entity type
Individual (Type 1)
Enumeration date
July 13, 2020
Last updated
July 13, 2020
Certified
July 13, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 7326 OK

Mailing address

5528 E 107TH St
Tulsa, OK 74137-7293
Phone
(918) 576-9293

About Dr. Wilson

Jeffrey Jordan Wilson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1313 E 20TH St, Okmulgee, OK 74447-6303. The NPI number 1235757568 was assigned on July 13, 2020 and the record was last updated on July 13, 2020.

Dr. Wilson lists a license in the registry: #7326 (OK) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jeffrey Jordan Wilson, DDS?

The NPI number is 1235757568.

What is the phone number of Dr. Wilson?

The phone number listed for the practice location is (918) 591-5721.

Where is Dr. Wilson located?

1313 E 20TH St, Okmulgee, OK 74447-6303.

What is the taxonomy code for Dr. Wilson?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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