# JAN L COBBLE DDS PC

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

## Provider details

- **NPI number:** 1417017260
- **Authorized official:** DR. JAN L COBBLE DDS (OWNER DENTIST)
- **Authorized official phone:** (918) 496-2681

## Contact information

- **Practice address:** 8908 SO YALE AVE, SUITE 430, TULSA, OK 74137
- **Practice address phone:** (918) 496-2481
- **Practice address fax:** (918) 496-3749
- **Mailing address:** 8908 SO YALE AVE, SUITE 430, TULSA, OK 74137
- **Mailing address phone:** (918) 496-2481
- **Mailing address fax:** (918) 496-3749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3457 | OK | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 08/22/2020