Weston Alexander Willis in Jacksonville - Orthodontics And Dentofacial Orthopedics

Weston Alexander Willis - NPI 1518061605

Weston Alexander Willis is a Orthodontics And Dentofacial Orthopedics in Jacksonville, North Carolina. Weston Alexander Willis practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Weston Alexander Willis is 1518061605. The last update date is 2011-03-24.

Weston Alexander Willis's current location address is 17 Office Park Dr, Jacksonville, North Carolina. You can contact this provider via phone number 9103535234 and fax number 9103531999. The mailing address for Weston Alexander Willis is 17 Office Park Dr, Jacksonville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Weston Alexander Willis
Address 17 Office Park Dr, Jacksonville, North Carolina
Phone Number 9103535234
Fax Number 9103531999
Sole Proprietor N
Credentials DDS MSC O

NPI Number Detail

NPI Number 1518061605
Provider Enumeration Date 2006-09-11
Last Updated Date 2011-03-24

Provider Mailing Address Detail

Address 17 Office Park Dr
City Jacksonville
State North Carolina (NC)
Post Code 285463219
Phone Number 9103535234
Fax Number 9103531999

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 2846
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8999384 NC --
99384 NC BLUE CROSS BLUE SHIELD NC

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FAQs about Weston Alexander Willis

What is the unique 10-digit identification code issued to Weston Alexander Willis by the Centers for Medicare & Medicaid Services?

The Weston Alexander Willis has been assigned the NPI (National Provider Identifier) 1518061605 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Weston Alexander Willis?

The Weston Alexander Willis is physically situated at 17 Office Park Dr, in the city of Jacksonville, state of NC, with the postal code 285463219.

What is the Weston Alexander Willis's area of specialization and corresponding taxonomy classification?

The Weston Alexander 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.

On what date did the Weston Alexander Willis receive the assignment of its 1518061605 from the Centers for Medicare & Medicaid Services?

The Weston Alexander Willis was issued its 1518061605 by the Centers for Medicare & Medicaid Services on 2006-09-11.

When was the information regarding Weston Alexander Willis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Weston Alexander Willis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-03-24.

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