Individual
BENJAMIN J. GERKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4604 S HARVARD AVE STE A, TULSA, OK 74135-2912
(918) 749-2509
(918) 749-6486
Mailing address
4604 S HARVARD AVE STE A, TULSA, OK 74135-2912
(918) 749-2509
(918) 749-6486
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5717
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201700722
TAX IDENIFICATION NUMBER
OK
Enumeration date
02/22/2007
Last updated
06/20/2024
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