Teighlor Danielle Juricek, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7577 Issued in OK

Practice address

101 E Albany St Ste 101
Broken Arrow, OK 74012-8987

Phone

(918) 308-5566

NPI assigned

Jun 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1811626856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 OLD MILITARY TRL",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751267650",
            "telephone_number": "214-675-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E ALBANY ST STE 101",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128987",
            "telephone_number": "918-308-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURICEK",
        "first_name": "TEIGHLOR",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Jones
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• Monica Dawn Judy, M.S CCC-SLP
• Morgan Danielle Jurney
• Kamille Case, PLLC
• Karefirst Oklahoma PC
• Kash K. Biddle, DO, PLLC
• Kassie Peck, PLLC

• General Practice Dentistry in Broken Arrow, OK
• Providers in Broken Arrow, 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 Jun 6, 2022; 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.