# MADILL FAMILY DENTISTRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Storts Family Dentistry-Madill
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508447152
- **Authorized official:** DR. WILLIAM ROBERT JENNINGS JR. DDS (OWNER)
- **Authorized official phone:** (940) 206-8956

## Contact information

- **Practice address:** 804 S 1ST ST STE C, MADILL, OK 73446-3846
- **Practice address phone:** (580) 795-3360
- **Mailing address:** 2109 COMMERCE ST STE 200, DALLAS, TX 75201-4305
- **Mailing address phone:** (972) 248-1221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/15/2021
- **Last updated:** 06/26/2026