Provider Demographics
NPI:1104248046
Name:JAMIE L. MEANS, DDS, PLLC
Entity type:Organization
Organization Name:JAMIE L. MEANS, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MEANS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:405-238-3600
Mailing Address - Street 1:318 MELVILLE DR
Mailing Address - Street 2:
Mailing Address - City:PAULS VALLEY
Mailing Address - State:OK
Mailing Address - Zip Code:73075-6631
Mailing Address - Country:US
Mailing Address - Phone:405-238-3600
Mailing Address - Fax:405-238-1640
Practice Address - Street 1:318 MELVILLE DR
Practice Address - Street 2:
Practice Address - City:PAULS VALLEY
Practice Address - State:OK
Practice Address - Zip Code:73075-6631
Practice Address - Country:US
Practice Address - Phone:405-238-3600
Practice Address - Fax:405-238-1640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-13
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6375261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental