DR. JACK WILLOUGHBY, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1487666467
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 4150 (OK) |
Frequently Asked Questions
NPI 1487666467 is the National Provider Identifier for DR. JACK WILLOUGHBY, D.D.S., a Dentist - General Practice provider located in Edmond, OK. This NPI was enumerated on August 11, 2006.
DR. JACK WILLOUGHBY, D.D.S. practices at 1222 S KELLY AVE, Edmond, OK 73003.
Quick Facts
- NPI
- 1487666467
- Type
- Individual
- Enumerated
- Aug 11, 2006
- Last Updated
- Jul 8, 2007
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