Individual
DR. JAY PATRICK FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
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
10/11/2006
Last updated
08/27/2008
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