Cheryl Lee Willett in Santa Rosa - Pediatric Dentistry
Cheryl Lee Willett - NPI 1245352517
Cheryl Lee Willett is a Pediatric Dentistry in Santa Rosa, California. Cheryl Lee Willett practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Cheryl Lee Willett is 1245352517. The last update date is 2023-02-21.
Cheryl Lee Willett's current location address is 1111 Sonoma Ave Ste 102, Santa Rosa, California. You can contact this provider via phone number 7075444611. The mailing address for Cheryl Lee Willett is 1111 Sonoma Ave Ste 102, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cheryl Lee Willett |
|---|---|
| Address | 1111 Sonoma Ave Ste 102, Santa Rosa, California |
| Phone Number | 7075444611 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1245352517 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2023-02-21 |
Provider Mailing Address Detail
| Address | 1111 Sonoma Ave Ste 102 |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954054813 |
| Phone Number | 7075444611 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 49247 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the Cheryl Lee Willett's unique identification number?
The Cheryl Lee Willett has been assigned the NPI (National Provider Identifier) Number 1245352517 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Cheryl Lee Willett is physically located?
The Cheryl Lee Willett is physically situated at the following address: 1111 Sonoma Ave Ste 102, Santa Rosa, CA, 954054813.
What is the Cheryl Lee Willett's specialty and taxonomy code?
The Cheryl Lee Willett's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did the Cheryl Lee Willett receive its 1245352517 assignment from the Centers for Medicare & Medicaid Services?
The Cheryl Lee Willett was assigned its 1245352517 by the Centers for Medicare & Medicaid Services on 2007-04-06.
When was the information regarding Cheryl Lee Willett, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Cheryl Lee Willett, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-02-21.
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