Individual
DR. SAM P JONES IV
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
1218 E 9TH ST, SUITE 7, EDMOND, OK 73034-5796
(405) 285-7466
(405) 285-5166
Mailing address
PO BOX 108811, OKLAHOMA CITY, OK 73101-8811
(405) 848-7974
(405) 848-0033
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5231
OK
Other
Enumeration date
11/03/2005
Last updated
07/08/2007
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