IndividualActive
Jerry Jack, DDS
NPI 1265463467 · General Practice Dentistry · Moore, OK
Jerry Jack, DDS is a General Practice Dentistry provider in Moore, OK (NPI 1265463467).
Provider details
- NPI number
- 1265463467
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 3903 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1740 N Service Rd
Moore, OK 73160-3307
Phone: (405) 794-7200
Fax: (405) 794-2266
Street-level locationGet directions
Mailing address
555 W Benjamin Holt Dr
Stockton, CA 95207-3839
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jerry Jack's NPI number?
- Jerry Jack's National Provider Identifier (NPI) is 1265463467, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Jack's specialty?
- Jerry Jack is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jerry Jack located?
- Jerry Jack's practice location on file with NPPES is 1740 N Service Rd, Moore, OK 73160-3307.
- What is Jerry Jack's phone number?
- The practice phone number listed in the NPPES registry for Jerry Jack is (405) 794-7200.
- Is Jerry Jack's NPI active?
- Yes — Jerry Jack's NPI (1265463467) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.