Individual
DR. JAY LYNN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1502 W MAIN ST, DUNCAN, OK 73533-4333
(580) 252-9422
(580) 252-9511
Mailing address
1502 W MAIN ST, DUNCAN, OK 73533-4333
(580) 252-9422
(580) 252-9511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5560
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-2451517-001
BLUECROSS BLUESHIELD
OK
Enumeration date
08/20/2006
Last updated
07/08/2007
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