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

Jake Boone

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1649914938

Jake Boone is a Dentist in Bethany, Oklahoma. Graduated from University of Nevada, Las Vegas School of Medicine in 2025, 1 year ago. Works from 2 locations. Licensed in Oklahoma.

Years since qualifying
1
Trained at
University of Nevada, Las Vegas School of Medicine
Licensed in
OK
In the registry since
2022

Practice location Address checks out

7221 NW 23rd St Unit C-D
Bethany, OK 73008-5131
Phone: (405) 367-8147
Show map & directions

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

Additional practice locations (1)

  • 304 N Monte Vista St, Ada, OK 74820-4607 — (580) 436-5111

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 7560 (OK)

Record details

NPI number1649914938
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 23, 2022
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026
Mailing address301 W Kings Rd, Ada, OK 74820-8219

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolUNIVERSITY OF NEVADA, LAS VEGAS SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Bethany