Individual
DR. JIM MITCHELL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1929 S GREEN AVE, PURCELL, OK 73080-6203
(405) 294-9090
Mailing address
1929 S GREEN AVE, PURCELL, OK 73080-6203
(405) 294-9090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7291
OK
Other
Enumeration date
06/05/2020
Last updated
05/03/2021
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