Provider Demographics
NPI:1588738488
Name:MEANS, JAMIE L (DDS)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:L
Last Name:MEANS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6375122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist