Jacy Rae Glover-Secrest, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7301 Issued in OK

Practice address

700 S Eastern Ave
Moore, OK 73160-6199

Phone

(405) 912-3300

NPI assigned

Jun 18, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Jacy R Glover Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1356967079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 STRAKA RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731659630",
            "telephone_number": "405-623-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S EASTERN AVE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731606199",
            "telephone_number": "405-912-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 S Berry Rd",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730695412",
            "country_code": "US",
            "telephone_number": "405-360-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOVER-SECREST",
        "first_name": "JACY",
        "middle_name": "RAE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "T7301",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7301",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACY",
            "last_name": "GLOVER",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heath Scott Gibson
• Johanna Gibson
• Ja'Leesa T Giles Smitherman, MCMHC, LPC CANDIDATE
• Sharhonda Nicole Givens, MA, LPC
• Heather Glenn
• Good Foundations Counseling LLC
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• Gordon J Bean DPM Inc
• Jorge Allen Gorton, PA-C
• Jenne Deann Gough, APRN, PMHNP-BC

• General Practice Dentistry in Moore, OK
• Providers in Moore, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.