Individual
JAMES V DEWHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1606 W FIR ST, PERRY, OK 73077-5800
(580) 336-6500
(580) 336-6502
Mailing address
1606 W FIR ST, PERRY, OK 73077-5800
(580) 336-6500
(580) 336-6502
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4922
OK
1223G0001X
General Practice Dentistry
4922
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100846170A
—
OK
Enumeration date
10/17/2006
Last updated
01/12/2024
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