# JAY A. HARLAN, D.D.S., INC.

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

## Provider details

- **NPI number:** 1760596761
- **Authorized official:** DR. JAY ALAN HARLAN D.D.S. (PRESIDENT)
- **Authorized official phone:** (405) 632-9726

## Contact information

- **Practice address:** 8101 S WALKER AVE, SUITE E, OKLAHOMA CITY, OK 73139-9418
- **Practice address phone:** (405) 632-9726
- **Practice address fax:** (405) 632-9728
- **Mailing address:** 8101 S WALKER AVE, SUITE E, OKLAHOMA CITY, OK 73139-9418
- **Mailing address phone:** (405) 632-9726
- **Mailing address fax:** (405) 632-9728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 5092 | OK | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 07/18/2008