Jerry Jack, DDS

ActiveIndividual ProviderDentistry
NPI issued: July 5, 2006

Quick Facts

NPI Number
1265463467
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223G0001X — Dentistry
Phone
(405) 794-7200
StateOK

NPI Validation Status: Verified

Valid 10-digit NPI number (1265463467)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (July 5, 2006)
Data source: CMS NPPES

Provider Overview

JERRY JACK, DDS is a Dentistry provider based in Moore, OK who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1265463467
Provider TypeIndividual Provider
GenderMale
CredentialDDS
StatusActive
Enumeration DateJuly 5, 2006

Practice Location

CityMoore
StateOK
ZIP Code73160-3307
Phone(405) 794-7200

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223G0001X
License StateOK

Mailing Address

CityMoore
StateOK
ZIP Code73160-3307
Phone(405) 794-7200
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1265463467 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1265463467for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1265463467 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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174,905
Dentistry Providers in the US

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Ronald Montgomery Dental Group, Pc

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Stephanie Wendt, D.D.S

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Richard Freeman, DDS

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Other Healthcare Providers in Moore

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Jay Leemaster, M.D

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Max Venard, OD

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Harry Taylor, PA-C

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Innovative Medical Supply, Llc

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Lance Ledbetter, O.D

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People Also Ask

What is Jerry Jack's NPI number?
Jerry Jack's NPI number is 1265463467, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jerry Jack's NPI currently active?
Yes, Jerry Jack's NPI status is Active as of the latest CMS NPPES database updates.
What does Jerry Jack specialize in?
Jerry Jack specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223G0001X.
Where does Jerry Jack practice?
Jerry Jack practices in Moore, OK 73160-3307.
When was Jerry Jack's NPI issued?
Jerry Jack's NPI was issued on July 5, 2006.
What is Jerry Jack's provider type?
Jerry Jack is registered as an Individual Provider under CMS NPI Type 1.