Individual
DR. JEREMY RYAN ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4606 E 67TH ST STE 312, TULSA, OK 74136-4950
(918) 494-4445
(918) 494-4414
Mailing address
2321 E 3RD ST, TULSA, OK 74104-1831
(918) 494-4445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7166
OK
Other
Enumeration date
05/23/2019
Last updated
08/30/2019
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