Individual
JADEN WAYNE BIRCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1117 N MILT PHILLIPS AVE, SEMINOLE, OK 74868-2321
(405) 382-8282
(405) 716-4005
Mailing address
1117 N MILT PHILLIPS AVE, SEMINOLE, OK 74868-2321
(405) 382-8282
(405) 716-4005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8001
OK
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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