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

Jerry Jack, DDS

Individual provider General Practice Dentistry · NPI 1265463467

Jerry Jack, DDS is a General Practice Dentistry in Moore, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
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.

See every abbreviation used in this directory →

Practice location Address checks out

1740 N Service Rd
Moore, OK 73160-3307
Phone: (405) 794-7200
Fax: (405) 794-2266
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 3903 (OK)

Record details

NPI number1265463467
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESJuly 8, 2007
Mailing address555 W Benjamin Holt Dr, Building B, Stockton, CA 95207-3839

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