Yadon Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4852 Issued in OK

Legal business name

YADON DENTAL PLLC

Practice address

2211 Downs Ave
Woodward, OK 73801-5309

Phone

(580) 256-8668

NPI assigned

Jan 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. William Trent Yadon, D.D.S.

Title

Dentist

Phone

(580) 256-8668

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1881932382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 DOWNS AVE",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738015309",
            "telephone_number": "580-256-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 DOWNS AVE",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738015309",
            "telephone_number": "580-256-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YADON DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "YADON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TRENT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "580-256-8668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "4852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100683740 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Woodward Nursing Center LLC (Grace Living Center - Woodward)
• Woodward Orthopedics, PC
• Woodward Pharmacy Management, PC (Medic Pharmacy)
• Woodward Public Schools
• Cathy J Wright
• William Trent Yadon, DDS
• Mary Debborah Zambrano
• Judy Marlene Zollinger

• Dental Clinic/Center in Woodward, OK
• Providers in Woodward, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.