Abby Ann Hacker, DMD
Individual provider Active NPI Dentist · Jay, OK
NPI 1699465617 · NPPES record last updated Jul 27, 2026
Key facts
- NPI
- 1699465617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 8264 (OK)
- Practice address
- 859 E Melton Dr
Jay, OK 74346-2704 - Phone
- (918) 253-1700
- NPI assigned
- May 12, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8264 | OK | Yes |
Addresses
Primary practice location
859 E Melton Dr
Jay, OK 74346-2704
Mailing address
59881 E 333 Rd
Grove, OK 74344-7985
Other providers in Jay, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.