Individual
DR. JESSICA BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2328 S 4TH ST, CHICKASHA, OK 73018-6804
(214) 729-0800
Mailing address
823 N FM 548 STE 130, FORNEY, TX 75126-7142
(214) 729-0800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7518
OK
1223G0001X
General Practice Dentistry
37419
TX
Other
Enumeration date
07/19/2021
Last updated
09/16/2025
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