Organization
RICK L. WILLINGHAM, D.D.S., P.C.
Active
Other names
WILLINGHAM & REITER, D.D.S.
Organization subpart
No
Provider details
NPI number
Authorized official
RICK L. WILLINGHAM D.D.S. (OWNER/DENTIST)
(405) 354-4893
Entity
Organization
Contact information
Practice address
1700 PROFESSIONAL CIR, YUKON, OK 73099-6470
(405) 354-4893
(405) 350-3283
Mailing address
1700 PROFESSIONAL CIR, YUKON, OK 73099-6470
(405) 354-4893
(405) 350-3283
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5038
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366434649
TYPE 1 NPI
OK
01
—
1407848765
TYPE 1 NPI
OK
01
—
884113
UNITED CONCORDIA INSURANCE
OK
Enumeration date
04/30/2008
Last updated
04/30/2008
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