William P Reville, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

OK4426 Issued in OK

Practice address

3804 N Macarthur Blvd
Warr Acres, OK 73122-2016

Phone

(405) 789-5552

Fax

(405) 789-8201

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kellingdentalpllc

  • Dental Clinic/Center
  • Warr Acres, OK
  • NPI 1922991454
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871504191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 N MACARTHUR BLVD",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731222016",
            "telephone_number": "405-789-5552",
            "fax_number": "405-789-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 N MACARTHUR BLVD",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731222016",
            "telephone_number": "405-789-5552",
            "fax_number": "405-789-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVILLE",
        "first_name": "WILLIAM",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "OK4426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rediscover You
• Katherine Galgani Rensing, CPNP-PC
• Revan Health LLC
• Revan Inc
• Jason Robert Revel, PHARM.D.
• Timothy Paul Rothwell, D.D.S.
• Rustee Rutherford
• Adam Schroeder, PHARMD
• Ashley Danielle Scott
• Wednesday Shafer

• General Practice Dentistry in Warr Acres, OK
• Providers in Warr Acres, 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 Jul 8, 2007; 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.