Organization
JAY P. FITZGERALD, DDS, MS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY FITZGERALD D.D.S., M.S. (OWNER)
(405) 360-7716
Entity
Organization
Contact information
Practice address
444 36TH AVE NW, NORMAN, OK 73072-4703
(405) 360-7716
(405) 360-0047
Mailing address
444 36TH AVE NW, NORMAN, OK 73072-4703
(405) 360-7716
(405) 360-0047
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4871
OK
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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