MEDICARE: DR. JAY ALAN HARLAN D.D.S.

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	5092	OK

General Provider Information

NPI Number	:	1255445250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAY ALAN HARLAN D.D.S.

Provider Business Mailing Address
First Line	:	8101 S WALKER AVE
Second Line	:	SUITE E
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-9418
Country	:	US
Telephone Number	:	405-632-9726
Fax Number	:	405-632-9728

Provider Business Practice Location Address
First Line	:	8101 S WALKER AVE
Second Line	:	SUITE E
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-9418
Country	:	US
Telephone Number	:	405-632-9726
Fax Number	:	405-632-9728

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

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1760596761 — JAY A. HARLAN, D.D.S., INC.
Practice Location Address:

8101 S WALKER AVE , SUITE E
OKLAHOMA CITY, OK
73139-9418

Practice Phone: 405-632-9726
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1760539936 — CROSSROADS FAMILY DENTISTRY
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1760539944 — DR. CARL V DAIS D.D.S.
Practice Location Address:

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1538216726 — DR. DAVID A WEBB D.D.S.
Practice Location Address:

8101 S WALKER AVE , #D
OKLAHOMA CITY, OK
73139-9418

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1972650166 — DR. JAMES J UNDERWOOD D.D.S.
Practice Location Address:

8101 S WALKER AVE , #D
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1649465626 — STEPHEN W. HERREN DDS, PC
Practice Location Address:

8101 S WALKER AVE , SUITE C
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73139-9418

Practice Phone: 405-616-7770
Practice Fax: 405-616-7773

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