Healthcare Provider Details

I. General information

NPI: 1831350586
Provider Name (Legal Business Name): RUTH A. YOUNGQUIST D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2008
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5314 NW CACHE RD
LAWTON OK
73505-3313
US

IV. Provider business mailing address

209 LILAC DR STE 120
EDMOND OK
73034-7206
US

V. Phone/Fax

Practice location:
  • Phone: 580-595-9492
  • Fax: 580-595-9965
Mailing address:
  • Phone: 405-707-0600
  • Fax: 405-707-0602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number10747
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019026393
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30022914
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number23636
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number3748
License Number StateAR
# 6
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number6046
License Number StateLA
# 7
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number08705
License Number StateIA
# 8
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number6166
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: