Organization Name: | JAMIE L. MEANS, DDS, PLLC |
NPI Number: | 1104248046 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMIE L. MEANS (MEMBER) |
Mailing Address: | 318 Melville Dr Pauls Valley |
State: | OK US |
Postal Code: | 730756631 |
Phone Number: | 4052383600 |
Fax Number: | 4052381640 |
NPI Enumeration Date: | 01/13/2014 |
NPI Last Update Date: | 01/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 6375 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |