Individual
KYRA JORDAN SHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4409 INTREPID CIR, NORMAN, OK 73072-4300
(405) 808-4522
Mailing address
4409 INTREPID CIR, NORMAN, OK 73072-4300
(405) 808-4522
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016.0134368
VT
122300000X
Dentist
0401419518
VA
122300000X
Dentist
10000721
MA
122300000X
Dentist
14377
NC
122300000X
Dentist
14459
CT
122300000X
Dentist
18769
MD
122300000X
Dentist
6001990-15
WI
Other
Enumeration date
04/07/2025
Last updated
07/09/2026
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