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Active NPI 1669793022 Individual Practitioner Male Practitioner

Dr. Jarrod Don Lack , DDS

Dentist - General Practice • Enid, OK

Professional Overview & Biography Verified Profile Summary

Dr. Jarrod Lack, DDS is a registered healthcare professional specializing in Dentist - General Practice in Enid, OK. Practice services are available at 1710 W WILLOW RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1710 W Willow Rd

Enid, OK 737032438

Telephone 5802346663
Associated Practice Facility / Clinic
🏢 Tlc Dental Facility NPI 1851682751

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Enid, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
24 Specialists

Practicing in Enid, OK (1496 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OK 6916

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Lee Tefft , DDS

Dentist - General Practice

NPI 1700829454

Doctor of Dental Surgery

NPI 1861945354

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 18, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2010

Registered at 1710 W WILLOW RD, ENID, OK 737032438 (Tel: 5802346663)

📍
Updated Business Mailing Address June 18, 2010

Registered at 1710 W WILLOW RD, ENID, OK 737032438 (Tel: 5802346663)

👤
Provider Name / Credentials Updated June 18, 2010

Recorded as JARROD LACK, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2010

Dentist (License #6916 in OK)

🟢
Initial NPI Registration & Enumeration June 18, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669793022
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2010
Last Update: June 18, 2010
Sole Proprietor: Yes

Mailing Address

1710 W Willow Rd

Enid, OK 737032438

Phone: 5802346663

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.