Dr. Sally R. Willis, Psc in Louisville - General Practice

Dr. Sally R. Willis, Psc - NPI 1710052998

Dr. Sally R. Willis, Psc is a General Practice in Louisville, Kentucky. Dr. Sally R. Willis, Psc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dr. Sally R. Willis, Psc is 1710052998. The last update date is 2020-08-22.

Dr. Sally R. Willis, Psc's current location address is 7600 Outer Loop, Louisville, Kentucky. You can contact this provider via phone number 5022319970 and fax number 5022319972. The mailing address for Dr. Sally R. Willis, Psc is 7600 Outer Loop, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dr. Sally R. Willis, Psc
Address 7600 Outer Loop, Louisville, Kentucky
Phone Number 5022319970
Fax Number 5022319972
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Willis R. Sally
Credentials DMD
Telephone Number 5022319970

NPI Number Detail

NPI Number 1710052998
Provider Enumeration Date 2006-11-22
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 7600 Outer Loop
City Louisville
State Kentucky (KY)
Post Code 402281729
Phone Number 5022319970
Fax Number 5022319972

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5032
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Dr. Sally R. Willis, Psc

What is the unique 10-digit identifier code issued to Dr. Sally R. Willis, Psc by the Centers for Medicare & Medicaid Services?

The Dr. Sally R. Willis, Psc has been assigned the NPI (National Provider Identifier) 1710052998 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Dr. Sally R. Willis, Psc's facilities are geographically located?

The facilities of Dr. Sally R. Willis, Psc are physically situated at the following location: 7600 Outer Loop, Louisville, KY, 402281729.

What is the Dr. Sally R. Willis, Psc's specialty and taxonomy code?

The Dr. Sally R. Willis, Psc's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1710052998 to Dr. Sally R. Willis, Psc?

The Centers for Medicare & Medicaid Services originally issued the 1710052998 to Dr. Sally R. Willis, Psc on 2006-11-22.

As of what date were the Dr. Sally R. Willis, Psc's details last updated?

The information pertaining to the Dr. Sally R. Willis, Psc, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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