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DR. JERRY BOB NICK D.D.S
NPI 1558475392
Dentist - General Practice in Okmulgee, OK

Active since August 18, 2006
1015 E 6TH ST, OKMULGEE, OK 74447(918) 758-0022(918) 756-2046 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry Bob Nick D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY BOB NICK D.D.S (NPI 1558475392) is an individual general practice provider in Okmulgee, Oklahoma, licensed in Oklahoma (4701) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1558475392
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JERRY BOB NICKCredential: D.D.S
Location Address1015 E 6TH STOkmulgee, OK 74447-4705
Mailing Address1015 E 6th StOkmulgee, OK 74447-4705 · (918) 758-0022 · Fax (918) 756-2046
Phone(918) 758-0022
Fax(918) 756-2046
Sole ProprietorNo
Enumeration DateAugust 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1558475392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OK · 4701
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1015 E 6TH ST, Okmulgee, OK 74447
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YAERGER DENTAL
Dentist (General Practice)
1015 E 6TH ST
OKMULGEE, OK 74447
Okmulgee County (918) 758-0022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Nick's NPI number?

The NPI number for Jerry Nick is 1558475392. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Jerry Nick located?

Jerry Nick practices at 1015 E 6th St, Okmulgee, OK 74447. The listed phone number is (918) 758-0022.

What is Jerry Nick's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jerry Nick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.