Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack Edward Willoughby, DDS

Individual provider General Practice Dentistry · NPI 1487666467

Dr. Jack Edward Willoughby, DDS is a General Practice Dentistry in Edmond, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1222 S Kelly Ave
Edmond, OK 73003-5855
Phone: (405) 341-8518
Fax: (405) 715-2494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4150 (OK)

Record details

NPI number1487666467
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 11, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1222 S Kelly Ave, Edmond, OK 73003-5855

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