# W JACK MANN DDS INC

> 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:** 1750480737
- **Authorized official:** DR. WILLIAM JACK MANN DDS (OWNER)
- **Authorized official phone:** (405) 275-7520

## Contact information

- **Practice address:** 18 DUNLOP, SHAWNEE, OK 74804-3203
- **Practice address phone:** (405) 275-7520
- **Practice address fax:** (405) 275-4787
- **Mailing address:** 18 DUNLOP, SHAWNEE, OK 74804-3203
- **Mailing address phone:** (405) 275-7520
- **Mailing address fax:** (405) 275-4787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3728 | OK | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 08/22/2020