Organization
JACK N. SELLERS DDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK NICHOLS SELLERS D.D.S. (DENTIST (PRESIDENT))
(918) 967-4609
Entity
Organization
Contact information
Practice address
103 N.W. 9TH STREET, STIGLER, OK 74462
(918) 967-4609
(918) 967-9041
Mailing address
103 N.W. 9TH STREET, STIGLER, OK 74462
(918) 967-4609
(918) 967-9041
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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