# JAE W. CHOI DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mcloud Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932651783
- **Authorized official:** DR. JAE WOO CHOI D.D.S (OWNER/DENTIST)
- **Authorized official phone:** (405) 314-0449

## Contact information

- **Practice address:** 806 S 8TH ST, MCLOUD, OK 74851-8628
- **Practice address phone:** (405) 395-2020
- **Practice address fax:** (405) 395-2608
- **Mailing address:** 806 S. 8TH ST., MCLOUD, OK 74851
- **Mailing address phone:** (405) 395-2020
- **Mailing address fax:** (405) 395-2608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6704 | OK | Yes |

## Other

- **Enumeration date:** 10/27/2016
- **Last updated:** 10/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200551660A | — | OK |
| 05 | — | 200585480A | — | OK |