Individual
DR. JEFFREY ALAN SCAMMAHORN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11521 S WESTERN AVE STE C, OKLAHOMA CITY, OK 73170-5883
(405) 692-5800
Mailing address
500 HASSWELL DR, OKLAHOMA CITY, OK 73170-7706
(405) 317-8015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7069
OK
1223G0001X
General Practice Dentistry
Primary
7069
OK
Other
Enumeration date
05/29/2018
Last updated
11/23/2021
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