Provider Demographics
NPI:1073544581
Name:WILLHOITE, M. KAREN (DDS)
Entity Type:Individual
Prefix:DR
First Name:M.
Middle Name:KAREN
Last Name:WILLHOITE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:WILLHOITE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:500 E BLUE STARR DR
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-4431
Mailing Address - Country:US
Mailing Address - Phone:918-341-2788
Mailing Address - Fax:918-342-0065
Practice Address - Street 1:500 E BLUE STARR DR
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-4431
Practice Address - Country:US
Practice Address - Phone:918-341-2788
Practice Address - Fax:918-342-0065
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK52211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice