Individual
DR. JERRY W. DICKSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
820 ALLISON AVE, CHANDLER, OK 74834-3834
(405) 258-1042
(405) 258-5009
Mailing address
PO BOX 489, CHANDLER, OK 74834-0489
(405) 258-1042
(405) 258-5009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4968
OK
Other
Enumeration date
09/26/2005
Last updated
07/08/2007
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