Individual
JASON WAYNE CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1010 SW 29TH ST, OKLAHOMA CITY, OK 73109-2306
(405) 601-1500
Mailing address
225 SW 136TH ST, OKLAHOMA CITY, OK 73170-6893
(405) 210-1705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6023
OK
Other
Enumeration date
06/17/2008
Last updated
07/10/2023
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