# JAY LYNN WHITE, DDS, PC

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

## Provider details

- **NPI number:** 1912255845
- **Authorized official:** DR. JAY LYNN WHITE DDS (OWNER)
- **Authorized official phone:** (580) 252-9422

## Contact information

- **Practice address:** 1502 W MAIN ST, DUNCAN, OK 73533-4333
- **Practice address phone:** (580) 252-9422
- **Practice address fax:** (580) 252-9511
- **Mailing address:** 1502 W MAIN ST, DUNCAN, OK 73533-4333
- **Mailing address phone:** (580) 252-9422
- **Mailing address fax:** (580) 252-9511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 44262 | OK | — |
| 122300000X | Dentist | 5560 | OK | Yes |

## Other

- **Enumeration date:** 08/27/2012
- **Last updated:** 08/27/2012