Organization
JACK SELLERS,D.D.S. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK NICHOLS SELLERS (PRESIDENT)
(918) 967-4609
Entity
Organization
Contact information
Practice address
103 NW 9TH ST, STIGLER, OK 74462-1700
(918) 967-4609
Mailing address
103 NW 9TH ST, STIGLER, OK 74462-1700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/20/2009
Last updated
11/20/2009
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