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Dr. JEREMY LEWIS EGAN DMD, MD

Individual Provider (NPI-1) Active

Oral & Maxillofacial Surgery

Provider Information

NPI Number
1225561061
Provider Type
Individual Provider (NPI-1)
Credentials
DMD, MD
Status
Active

Contact & Location

Address
3100 E ZORA ST, WEBB CITY, MO, 648709770
Phone
(417) 228-8286

Specialties & Taxonomies

Dentist, General Practice License: OK #7760
Dentist, Oral and Maxillofacial Surgery License: MO #2024047374
Student in an Organized Health Care Education/Training Program
Oral & Maxillofacial Surgery Primary License: OK #234

All Addresses

LOCATION

3100 E ZORA ST

WEBB CITY, MO, 648709770

(417) 228-8286

MAILING

11916 S OXFORD AVE STE 103

TULSA, OK, 741377781

(918) 395-8305