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Organization

JAMES R. YEARY P.L.L.C.

Active
Other names
James R. Yeary DDS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES R YEARY DDS (OWNER/DENTIST)
(405) 329-7171
Entity
Organization

Contact information

Practice address
801 WALL ST., NORMAN, OK 73069
(405) 329-7171
(405) 321-7540
Mailing address
801 WALL ST., NORMAN, OK 73069
(405) 329-7171
(405) 321-7540

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
4716
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100112740A
OK
Enumeration date
05/22/2008
Last updated
01/05/2009
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