Provider Demographics
NPI:1508861022
Name:LOCKHART, WILLIAM MARION (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MARION
Last Name:LOCKHART
Suffix:
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 1:1733 WOODSTEAD CT
Mailing Address - Street 2:STE 204
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3401
Mailing Address - Country:US
Mailing Address - Phone:281-367-5256
Mailing Address - Fax:281-367-4600
Practice Address - Street 1:1733 WOODSTEAD CT
Practice Address - Street 2:STE 204
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3401
Practice Address - Country:US
Practice Address - Phone:281-367-5256
Practice Address - Fax:281-367-4600
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX176741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice