Provider Demographics
NPI:1215249271
Name:REED, WILLIAM III (DDS)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:REED
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 S MUSTANG RD STE A
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-7316
Mailing Address - Country:US
Mailing Address - Phone:405-324-0200
Mailing Address - Fax:
Practice Address - Street 1:420 S MUSTANG RD STE A
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-7316
Practice Address - Country:US
Practice Address - Phone:405-324-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-07
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK62241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice