# JACK N. SELLERS DDS, P.C.

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

## Provider details

- **NPI number:** 1346563707
- **Authorized official:** JACK NICHOLS SELLERS D.D.S. (DENTIST (PRESIDENT))
- **Authorized official phone:** (918) 967-4609

## Contact information

- **Practice address:** 103 N.W. 9TH STREET, STIGLER, OK 74462
- **Practice address phone:** (918) 967-4609
- **Practice address fax:** (918) 967-9041
- **Mailing address:** 103 N.W. 9TH STREET, STIGLER, OK 74462
- **Mailing address phone:** (918) 967-4609
- **Mailing address fax:** (918) 967-9041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2010
- **Last updated:** 03/12/2010