Individual
JEROME NEAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
619 W MAIN ST, COLLINSVILLE, OK 74021-3333
(918) 371-3375
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(706) 888-0255
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8080
OK
Other
Enumeration date
03/17/2025
Last updated
11/14/2025
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