MEDICARE: DR. JAMES E HEREFORD 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	4112	OK

General Provider Information

NPI Number	:	1972587400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES E HEREFORD DDS

Provider Business Mailing Address
First Line	:	1111 W MAIN ST
Second Line	:
City	:	COLLINSVILLE
State	:	OK
Zip	:	74021-3112
Country	:	US
Telephone Number	:	918-371-3375
Fax Number	:	918-371-4407

Provider Business Practice Location Address
First Line	:	1111 W MAIN ST
Second Line	:
City	:	COLLINSVILLE
State	:	OK
Zip	:	74021-3112
Country	:	US
Telephone Number	:	918-371-3375
Fax Number	:	918-371-4407

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

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	04/21/2008

Similar Medicare Providers

1548434558 — JAMES E HEREFORD, DDS, INC
Practice Location Address:

1111 W MAIN ST
COLLINSVILLE, OK
74021-3112

Practice Phone: 918-371-3375
Practice Fax: 918-371-4407

1184865479 — MRS. HILARY DAWN-ANTHONY NICHOLSON APRN-CNP
Practice Location Address:

1101 W MAIN ST , STE 112
COLLINSVILLE, OK
74021-3112

Practice Phone: 918-553-8613
Practice Fax: 918-371-2332

1275916744 — TREASURED PEDIATRIC CARE HILARY NICHOLSON APRN-CNP, PLLC
Practice Location Address:

1101 W MAIN ST , SUITE 112
COLLINSVILLE, OK
74021-3112

Practice Phone: 918-553-8613
Practice Fax: 918-371-2332

1528736097 — JENNIFER SUE SASSIN APRN, CPNP
Practice Location Address:

1101 W MAIN ST # 112
COLLINSVILLE, OK
74021-3112

Practice Phone: 918-553-8613
Practice Fax:

1205574597 — PAXTON MCCAMMON DDS
Practice Location Address:

1111 W MAIN ST
COLLINSVILLE, OK
74021-3112

Practice Phone: 918-371-3375
Practice Fax: 918-371-4407

1881557775 — KOA BEHAVIORAL HEALTH LLC
Practice Location Address:

11917 N 130TH EAST AVE
COLLINSVILLE, OK
74021-1103

Practice Phone: 808-348-5397
Practice Fax:

Directions to “ DR. JAMES E HEREFORD 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.