Individual
DR. JIM M MERRIFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.
Contact information
Practice address
403 FAIRVIEW AVE, PONCA CITY, OK 74601-1923
(580) 765-2424
Mailing address
403 FAIRVIEW AVE, PONCA CITY, OK 74601-1923
(580) 765-2424
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
OK3741
OK
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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