Dr. Jack Edward Willoughby

D.D.S. | Dentist



  
  1222 S Kelly Ave, Edmond
  Oklahoma, 73003-5855

  405-341-8518    405-715-2494 Maps & Directions
Dr. Jack Edward Willoughby is a Edmond, Oklahoma based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jack Edward Willoughby is 4150 for General Practice Dentistry in Oklahoma. His current practice location is 1222 S Kelly Ave, Edmond. Patients can reach him at 405-341-8518.
Dr. Jack Edward Willoughby is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Jack Edward Willoughby speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Name: Dr. Jack Edward Willoughby
Specialization: Dentist
Gender:Male
Credentials: D.D.S.
Accepts Medicare Assignment:No
Practice Address:1222 S Kelly Ave, Edmond,
Oklahoma, 73003-5855
Phone:405-341-8518
Fax:405-715-2494
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1487666467
NPI Enumeration Date: 11 Aug, 2006
NPI Last Update On: 08 Jul, 2007

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jack Edward Willoughby are as mentioned below.
License NumberSpecializationStateStatus
4150General Practice Dentistry OklahomaPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 1222 S Kelly Ave,
Edmond, Oklahoma
Zip: 73003-5855
Phone Number: 405-341-8518
Fax Number: 405-715-2494
Patients can reach Dr. Jack Edward Willoughby at 1222 S Kelly Ave, Edmond, Oklahoma or can call to book an appointment on 405-341-8518. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

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