Individual
DR. JERRY D SNELL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
26245 HIGHWAY 82 STE 2, PARK HILL, OK 74451-2802
(918) 458-5140
(918) 458-5155
Mailing address
26245 HIGHWAY 82 STE 2, PARK HILL, OK 74451-2802
(918) 458-5140
(918) 458-5155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
OK5496
OK
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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