# JERRY S SCHOEFFLER, D.D.S.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174282545
- **Authorized official:** JERRY SCHOEFFLER DDS (OWNER)
- **Authorized official phone:** (918) 492-9711

## Contact information

- **Practice address:** 5416 S YALE AVE STE 100, TULSA, OK 74135-6202
- **Practice address phone:** (918) 492-9711
- **Practice address fax:** (918) 492-3889
- **Mailing address:** 5416 S YALE AVE STE 100, TULSA, OK 74135-6202
- **Mailing address phone:** (918) 492-9711
- **Mailing address fax:** (918) 492-3889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/14/2021
- **Last updated:** 12/14/2021