Organization
JENKS DENTAL CO., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CREED CARDON DDS (PRESIDENT/DENTIST)
(918) 998-0996
Entity
Organization
Contact information
Practice address
725 W MAIN ST, JENKS, OK 74037-3518
(918) 528-3230
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 235-9079
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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