Provider Demographics
NPI:1073718920
Name:WARRICK LOOKER, MARY-MARGARET WILLIAMS (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARY-MARGARET
Middle Name:WILLIAMS
Last Name:WARRICK LOOKER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MARY-MARGARET
Other - Middle Name:WILLIAMS
Other - Last Name:WARRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2239 E COOK ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62703-1944
Mailing Address - Country:US
Mailing Address - Phone:217-788-2300
Mailing Address - Fax:
Practice Address - Street 1:2239 E COOK ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62703-1944
Practice Address - Country:US
Practice Address - Phone:217-788-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010980A122300000X
IL019.027535122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist