Individual
DR. DOUGLAS BARTON WILLINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2 N. MAIN ST., SALADO, TX 76571
(254) 947-5242
(254) 974-9246
Mailing address
PO BOX 767, SALADO, TX 76571-0767
(254) 947-5242
(254) 947-9246
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12771
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12771
LICENSE NUMBER
TX
Enumeration date
01/03/2007
Last updated
07/08/2007
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