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General NPI Number Information
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NPI Number | 1376610055
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Entity Type | Organization
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Legal Business Name | KRISTA M. JONES DDS PC
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2000 E 15TH ST BLDG. 200
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City | EDMOND
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State | OK
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Zip | 73013-6697
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Country | US
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Telephone | 405-341-0203
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Fax | 405-341-9370
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Provider Business Mailing Address
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Address Line | 2000 E 15TH ST BLDG. 200
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City | EDMOND
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State | OK
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Zip | 73013-6697
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Country | US
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Telephone | 405-341-0203
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Fax | 405-341-9370
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. SUSIE PEEK
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Credential |
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Telephone | 405-341-0203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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