Jerry Jack, DDS is a general practice dentist in Moore, OK. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Jerry Jack, DDS NPI is 1265463467. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1740 N SERVICE RD
MOORE, OK
ZIP 73160-307
Phone: (405) 794-7200
Fax: (405) 794-2266
The enumeration date for this NPI number is 7/5/2006 and was last updated on 7/8/2007.