Individual
JACOB ANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7019 W HEFNER RD, OKLAHOMA CITY, OK 73162-4712
(405) 832-3660
Mailing address
7019 W HEFNER RD, OKLAHOMA CITY, OK 73162-4712
(405) 832-3660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8168
OK
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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