Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jeromy Wade Dauphin, DDS

Individual provider Dentist · NPI 1679723712

Dr. Jeromy Wade Dauphin, DDS is a Dentist in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma and Texas.

Licensed in
OK, TX
In the registry since
2008
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1024 SW 104th St
Oklahoma City, OK 73139-2990
Phone: (405) 691-1123
Fax: (405) 691-2674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6141 (OK)
Dentist Taxonomy 122300000X · Licence 24108 (TX)

Record details

NPI number1679723712
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 25, 2008
Last updated in NPPESSeptember 10, 2009

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