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 Number | Specialization | State | Status | |
| 4150 | General Practice Dentistry | Oklahoma | Primary | |
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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.