Ronald Gordan Willis in Tallahassee - Dentist
Ronald Gordan Willis - NPI 1013172808
Ronald Gordan Willis is a Dentist in Tallahassee, Florida. Ronald Gordan Willis practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ronald Gordan Willis is 1013172808. The last update date is 2008-07-22.
Ronald Gordan Willis's current location address is 2470 Care Dr, Tallahassee, Florida. You can contact this provider via phone number 8508775151. The mailing address for Ronald Gordan Willis is 2470 Care Dr, Tallahassee, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Gordan Willis |
|---|---|
| Address | 2470 Care Dr, Tallahassee, Florida |
| Phone Number | 8508775151 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1013172808 |
|---|---|
| Provider Enumeration Date | 2008-07-22 |
| Last Updated Date | 2008-07-22 |
Provider Mailing Address Detail
| Address | 2470 Care Dr |
|---|---|
| City | Tallahassee |
| State | Florida (FL) |
| Post Code | 323084579 |
| Phone Number | 8508775151 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN12812 |
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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 identification code assigned to Ronald Gordan Willis by the Centers for Medicare & Medicaid Services?
The Ronald Gordan Willis has been issued the NPI (National Provider Identifier) 1013172808. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Ronald Gordan Willis is physically located?
The Ronald Gordan Willis is situated at the following address: 2470 Care Dr, Tallahassee, FL 323084579.
What is the area of specialization for Ronald Gordan Willis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ronald Gordan Willis is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date was the 1013172808 assigned to Ronald Gordan Willis?
The Ronald Gordan Willis was issued its 1013172808 on 2008-07-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Ronald Gordan Willis's details last updated?
The information pertaining to the Ronald Gordan Willis, including its address, specialty, and other details, was most recently updated on 2008-07-22.
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