Active NPI
R. Burton Ludrick, D.D.S., PC
- General Practice Dentistry
- Durant, OK
National Provider Identifier
1386821338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3727
- Legal business name
- R. BURTON LUDRICK, D.D.S., PC
- Practice address
- 720 Bryan Dr
Suite B
Durant, OK 74701-7032 - Phone
- (580) 924-6960
- Fax
- (580) 924-6665
- NPI assigned
- Jan 22, 2008
- Last updated
- Jan 22, 2008
- 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
- Mrs. Harriet Wrynne Ludrick
- Title
- Office Manager/Spouse
- Phone
- (580) 924-6960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3727 | OK | Primary |
Addresses
Primary practice location
720 Bryan Dr
Suite B
Durant, OK 74701-7032
Mailing address
720 Bryan Dr
Suite B
Durant, OK 74701-7032
Phone (580) 924-6960
Other names 1
- Robert Burton Ludrick D.D.S.
National Provider Directory
National Provider DirectoryLocations
720 Bryan Dr
Ste B
Durant, OK 74701
Phone (580) 924-6960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200960000000",
"number": "1386821338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 BRYAN DR",
"address_2": "SUITE B",
"city": "DURANT",
"state": "OK",
"postal_code": "747017032",
"telephone_number": "580-924-6960",
"fax_number": "580-924-6665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 BRYAN DR",
"address_2": "SUITE B",
"city": "DURANT",
"state": "OK",
"postal_code": "747017032",
"telephone_number": "580-924-6960",
"fax_number": "580-924-6665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R. BURTON LUDRICK, D.D.S., PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-22",
"status": "A",
"authorized_official_last_name": "LUDRICK",
"authorized_official_first_name": "HARRIET",
"authorized_official_middle_name": "WRYNNE",
"authorized_official_title_or_position": "OFFICE MANAGER/SPOUSE",
"authorized_official_telephone_number": "580-924-6960",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "3727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Robert Burton Ludrick D.D.S.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.