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NPI Code Detail

MEDICARE: DR. WILLIAM EDWARD HOLCOMB DDS

MEDICARE:  DR. WILLIAM EDWARD HOLCOMB  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry4788OK

General Provider Information

NPI Number : 1770685182
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM EDWARD HOLCOMB DDS
Provider Business Mailing Address
First Line : 6303 N PORTLAND #209
Second Line :
City : OKLA CITY
State : OK
Zip : 73112
Country : US
Telephone Number : 405-942-7771
Fax Number : 405-942-7796
Provider Business Practice Location Address
First Line : 6303 N PORTLAND #209
Second Line :
City : OKLA CITY
State : OK
Zip : 73112
Country : US
Telephone Number : 405-942-7771
Fax Number : 405-942-7796
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2006
Last Update Date : 07/08/2007

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Directions to “ DR. WILLIAM EDWARD HOLCOMB DDS” Practice Location

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