Alan D. Willis in Mount Vernon - Orthodontics And Dentofacial Orthopedics
Alan D. Willis - NPI 1063627982
Alan D. Willis is a Orthodontics And Dentofacial Orthopedics in Mount Vernon, Illinois. Alan D. Willis practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Alan D. Willis is 1063627982. The last update date is 2007-07-08.
Alan D. Willis's current location address is 1915 Broadway St, Mount Vernon, Illinois. You can contact this provider via phone number 6182425600. The mailing address for Alan D. Willis is 1915 Broadway St, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alan D. Willis |
|---|---|
| Address | 1915 Broadway St, Mount Vernon, Illinois |
| Phone Number | 6182425600 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1063627982 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1915 Broadway St |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628642980 |
| Phone Number | 6182425600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 19A12643 |
|
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Alan D. Willis?
The Alan D. Willis has been issued the NPI (National Provider Identifier) 1063627982 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Alan D. Willis?
The Alan D. Willis is situated at 1915 Broadway St, in the city of Mount Vernon, state of IL, with the zip code 628642980.
What is the Alan D. Willis's area of specialization and corresponding taxonomy classification?
The Alan D. Willis's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.
When did Alan D. Willis receive its 1063627982 assignment?
The Alan D. Willis was assigned its 1063627982 on 2007-05-14, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Alan D. Willis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Alan D. Willis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1700880325
Address: 10011 Euclid Avenue, Cleveland, OH
NPI Number: 1760486153
Address: 10204 Granger Rd, Garfield Heights, OH
NPI Number: 1427054410
Address: 5700 Williamsburg Landing Dr, Williamsburg, VA
NPI Number: 1437156635
Address: 61 Corporate Cir, New Castle, DE