Archer, Jeremy Ryan

Archer, Jeremy Ryan is an individual health care provider with primary practice located at 4606 E 67Th St Ste 312 , Tulsa OK 74136-4950. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Archer, Jeremy Ryan can be contacted via phone (918) 494-4445.

Contact Information

Primary practice address
4606 E 67Th St Ste 312 Tulsa OK 74136-4950
Fax: (918) 494-4414
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7166 Oklahoma

Profile Details

NPI number 1154988277
LBN Legal business name Archer, Jeremy Ryan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2019
Last updated Aug 30th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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