person
Dr. Jack Edward Willoughby, DDS
General Practice Dentistry in Edmond, Oklahoma
NPI 1487666467

Jack Edward Willoughby is a General Practice Dentistry based in Edmond, OK and is specialized in General Practice. Jack Edward Willoughby practices in Edmond, OK and has the professional credentials of DDS. The NPI Number for Jack Edward Willoughby is 1487666467 and holds a License No. 4150 (Oklahoma).

The current practice location address for Jack Edward Willoughby is 1222 S Kelly Ave, Edmond, OK and can be reached out via phone at 405-341-8518 and via fax at 405-715-2494. You can also correspond with Jack Edward Willoughby through the mailing address at 1222 S KELLY AVE, EDMOND, OK - 73003-5855 (mailing address contact number: 405-341-8518).

Location: 1222 S Kelly Ave, Edmond, OK, 73003-5855
person
Provider Profile Details
NPI Number
1487666467
Provider Name
Jack Edward Willoughby
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1222 S Kelly Ave, Edmond, OK, 73003-5855
Phone Number
405-341-8518
Fax Number
405-715-2494
Provider Enumeration Date
08/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1222 S Kelly Ave
City
State
Zip
73003-5855
Phone Number
405-341-8518
Fax Number
405-715-2494
person
Provider Business Mailing Address Details
Address
1222 S Kelly Ave
City
State
Zip
73003-5855
Phone Number
405-341-8518
Fax Number
405-715-2494
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
4150 (Oklahoma)
Definition
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.
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