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Organization
JAMIE B. EPPERSON, DDS, PA
Active
Organization
JAMIE B. EPPERSON, DDS, PA
Active
Other names
Twelve Oaks Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE B. EPPERSON D.D.S. (PRESIDENT)
(940) 549-2183
Entity
Organization
Contact information
Practice address
401 OAK ST, GRAHAM, TX 76450-2521
(940) 549-2183
(940) 549-4215
Mailing address
401 OAK ST, GRAHAM, TX 76450-2521
(940) 549-2183
(940) 549-4215
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18099
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00K28Q
BCBS
TX
01
—
970005
UCCI
TX
Enumeration date
01/08/2008
Last updated
01/08/2008
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