MEDICARE: ELI TANIOS JARJOURA DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	5325	OK

General Provider Information

NPI Number	:	1235253014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELI TANIOS JARJOURA DDS

Provider Business Mailing Address
First Line	:	3431 S BOULEVARD ST STE 102
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73013-5514
Country	:	US
Telephone Number	:	405-844-8887
Fax Number	:

Provider Business Practice Location Address
First Line	:	3431 S BOULEVARD ST STE 102
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73013-5514
Country	:	US
Telephone Number	:	405-844-8887
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1457827511 — SUSAN MICHELLE FEELEY DNP, APRN-CNP
Practice Location Address:

3431 S BOULEVARD STE 109
EDMOND, OK
73013-5514

Practice Phone: 405-562-1870
Practice Fax:

1669596243 — ERIC RYAN MASSAD DDS
Practice Location Address:

3431 S BOULEVARD ST STE 102
EDMOND, OK
73013-5514

Practice Phone: 405-844-8887
Practice Fax: 405-844-9625

1255531844 — ROBERT ORRIN BAIRD DDS
Practice Location Address:

3431 S BOULEVARD ST STE 102
EDMOND, OK
73013-5514

Practice Phone: 405-844-8887
Practice Fax: 405-844-9625

1730476730 — JARED JACKSON M.D.
Practice Location Address:

3431 S BOULEVARD STE 105
EDMOND, OK
73013-5514

Practice Phone: 405-771-0880
Practice Fax: 405-562-2116

1821515032 — TINA JOY APRN-CNP, FNP-BC, LLC
Practice Location Address:

3431 S BOULEVARD STE 109
EDMOND, OK
73013-5514

Practice Phone: 405-562-1870
Practice Fax: 405-562-1871

1669038709 — IRINA DANIEL OD
Practice Location Address:

3431 S BOULEVARD STE 105
EDMOND, OK
73013-5514

Practice Phone: 405-771-0880
Practice Fax: 405-562-2116

Directions to “ ELI TANIOS JARJOURA DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.