Individual
JACOB C WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3811 E 51ST ST, TULSA, OK 74135-3603
(405) 751-7131
(405) 751-7160
Mailing address
403 EAST BROADWAY ST, SAND SPRINGS, OK 74063
(918) 245-5979
(918) 245-1245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6309
OK
Other
Enumeration date
06/28/2011
Last updated
04/18/2014
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