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

Jack G Okerstrom, DDS, PA

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1295846947

Jack G Okerstrom, DDS, PA is an Orthodontics and Dentofacial Orthopedics Dentistry in Prairie Village, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2006
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.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

4026 W 83rd St
Prairie Village, KS 66208
Phone: (913) 469-9191
Fax: (913) 451-2251
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence KS52000 (KS)

Record details

NPI number1295846947
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , PA
Sole proprietorYes
NPI enumeratedAugust 31, 2006
Last updated in NPPESDecember 19, 2013

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