Individual
JACOB DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5709 NW RADIAL HWY, OMAHA, NE 68104-4141
(402) 551-1757
(402) 551-4384
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7280
OK
122300000X
Dentist
Primary
7759
NE
Other
Enumeration date
05/27/2020
Last updated
01/04/2024
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