NPI 1225561061

Jeremy Lewis Egan, DMDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Webb City, MO

Practice location

Address: 3100 E Zora St, Webb City, MO 64870-9770
Phone: (417) 228-8286
Mailing address: 11916 S Oxford Ave STE 103, Tulsa, OK 74137-7781

Registered specialties (4)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 234 (OK)

Other Oral & Maxillofacial Surgery providers in Missouri →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 7760 (OK)

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Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 2024047374 (MO)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Missouri →

Registry record

NPI: 1225561061
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2017
Record last updated: 20 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.