Individual
JANE MECHELLE SPEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(539) 234-1000
(918) 453-1339
Mailing address
PO BOX 1069, TAHLEQUAH, OK 74465-1069
(562) 810-5752
(918) 453-1339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6129
OK
Other
Enumeration date
08/18/2009
Last updated
09/16/2021
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