Willis Dental

LBN: David Willis Dmd, Llc
Willis Dental is an health care organization with primary practice located at 1261 Lancaster Dr Ne , Salem OR 97301-1959. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. David Willis Dmd, Llc can be contacted via phone (503) 364-3004, or through Willis, David G via phone (503) 364-3004.

Contact Information

Primary practice address
1261 Lancaster Dr Ne Salem OR 97301-1959
Phone: (503) 364-3004
Fax: (503) 364-1623
Website:
Map and Directions
Authorized official contact:
Name: Willis, David G Doctor of Dental Medicine (DMD)
Phone: (503) 364-3004

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X D7786 Oregon

Profile Details

NPI number 1629522396
LBN Legal business name David Willis Dmd, Llc
DBA Doing business as Willis Dental
Authorized official Willis, David G Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2016
Last updated Sep 30th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629522396 NPPES
Oregon Other 1841395977 DAVID G. WILLIS, DMD

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