Healthcare Provider Details

I. General information

NPI: 1598068165
Provider Name (Legal Business Name): CARAH JEAN DUPPER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2010
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 NORTHRIDGE CIR
GUYMON OK
73942-2735
US

IV. Provider business mailing address

1900 PAMELA LN
WEATHERFORD OK
73096-2333
US

V. Phone/Fax

Practice location:
  • Phone: 580-338-5541
  • Fax:
Mailing address:
  • Phone: 425-330-5601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number6348
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: