Individual
DR. JEFF SHADID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10717 N ROCKWELL AVE, OKLAHOMA CITY, OK 73162-4537
(405) 722-7777
(405) 722-8428
Mailing address
10717 N ROCKWELL AVE, OKLAHOMA CITY, OK 73162-4537
(405) 722-7777
(405) 722-8428
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4706
OK
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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