Timothy Gay Willis is a Dentist in Yreka, California. Timothy Gay Willis practices all healthcare services and medical treatments related to Dentist. The NPI Number for Timothy Gay Willis is 1225161680. The last update date is 2007-07-08.
Timothy Gay Willis's current location address is 310 Evergreen Ln, Yreka, California. You can contact this provider via phone number 5308425332 and fax number 5308429029. The mailing address for Timothy Gay Willis is 310 Evergreen Ln, Yreka, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Timothy Gay Willis |
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Address | 310 Evergreen Ln, Yreka, California |
Phone Number | 5308425332 |
Fax Number | 5308429029 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1225161680 |
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Provider Enumeration Date | 2007-03-14 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 310 Evergreen Ln |
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City | Yreka |
State | California (CA) |
Post Code | 960973203 |
Phone Number | 5308425332 |
Fax Number | 5308429029 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 29525 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Timothy Gay Willis by the Centers for Medicare & Medicaid Services?
The Timothy Gay Willis has been assigned the NPI (National Provider Identifier) 1225161680 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Timothy Gay Willis is geographically located?
The Timothy Gay Willis is physically situated at the following location: 310 Evergreen Ln, Yreka, CA, 960973203.
What is Timothy Gay Willis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Timothy Gay Willis is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did Timothy Gay Willis receive its 1225161680 assignment from the Centers for Medicare & Medicaid Services?
The Timothy Gay Willis was assigned its 1225161680 on 2007-03-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Timothy Gay Willis most recently updated or revised?
The information pertaining to Timothy Gay Willis, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.