Edmond Dental Associates PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4715 AND 5969 Issued in OK

Legal business name

EDMOND DENTAL ASSOCIATES PLLC

Practice address

950 Medical Park Blvd
Edmond, OK 73013-3024

Phone

(405) 341-8804

Fax

(405) 341-4967

NPI assigned

Nov 17, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. V. Ralph Willcox, DDS

Title

Owner, Dentist

Phone

(405) 341-8804

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vernon Ralph Willcox, D.D.S.

  • General Practice Dentistry
  • Edmond, OK
  • NPI 1760476873
  NPD (past)
• Vincent Russell Willcox, D.D.S.

  • General Practice Dentistry
  • Edmond, OK
  • NPI 1194929695
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1407838113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7326",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730837326",
            "telephone_number": "405-341-8804",
            "fax_number": "405-341-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MEDICAL PARK BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133024",
            "telephone_number": "405-341-8804",
            "fax_number": "405-341-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMOND DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "WILLCOX",
        "authorized_official_first_name": "V. RALPH",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "405-341-8804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4715  AND  5969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmond Association of Retarded Citizens, Inc.
• Edmond Association of Retarded Citizens, Inc.
• Edmond Child and Family Guidance Center
• Edmond Chiropractic Rehabilitation PLLC
• Edmond Counseling & Professional Development, LLC
• Edmond Dentistry and Braces
• Edmond Family Chiropractic PLLC
• Edmond Family Counseling, Inc.
• Edmond Family Dental Designs
• Edmond Group Health, LLC

• General Practice Dentistry in Edmond, OK
• Providers in Edmond, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.