Dr. Jeffery Reid Holyoak, D.D.S.
Dentist in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1407167992
StatusActive
Last updated in NPPESJun 29, 2010
Details
- NPI
- 1407167992
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffery Reid Holyoak
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 29, 2010
- Last updated
- Jun 29, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 6192 | OK | Yes |
Practice location
9405 N Pennsylvania PlOklahoma City, OK 73120-3801
Phone 405-753-9090
Mailing address
2508 Nw 179th CtEdmond, OK 73012-0669
Phone 405-503-7593
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