Individual
DR. JACOB SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
150 E, OK-33, PERKINS, OK 74059
(405) 939-0700
Mailing address
5527 E 107TH PL, TULSA, OK 74137-7090
(918) 810-5645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7427
OK
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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