Active NPI
Ardmore Family Dentistry
- Dental Clinic/Center
- Ardmore, OK
National Provider Identifier
1124609771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- ARDMORE FAMILY DENTISTRY
- Practice address
- 1220 Merrick Dr
Ardmore, OK 73401-1824 - Phone
- (580) 223-6720
- NPI assigned
- Apr 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Robert Jennings Jr., DDS
- Title
- Owner
- Phone
- (940) 206-8956
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1220 Merrick Dr
Ardmore, OK 73401-1824
Mailing address
2109 Commerce St # 200
Dallas, TX 75201-4305
Phone (972) 248-1221
Other names 1
- Storts Family Dentistry-Ardmore
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782432000000",
"number": "1124609771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 COMMERCE ST # 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752014305",
"telephone_number": "972-248-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 MERRICK DR",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011824",
"telephone_number": "580-223-6720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARDMORE FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-15",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A",
"authorized_official_last_name": "JENNINGS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "940-206-8956",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Storts Family Dentistry-Ardmore",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.