Individual
JOHN NATHAN JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
235 SW 25TH ST., OKLAHOMA CITY, OK 73109
(405) 295-4967
(405) 295-4969
Mailing address
235 SW 25TH ST, OKLAHOMA CITY, OK 73109
(405) 295-4967
(405) 295-4969
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6926
OK
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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