Faison, Willie Russell
Faison, Willie Russell is an sole proprietor health care provider with primary practice located at Dept Of The Army, Dental Activity Stop B 2817 Reilly Rd, Mcds-Na-B, Fort Bragg NC 28310-0001. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Faison, Willie Russell can be contacted via phone (910) 396-5610.Contact Information
Primary practice address
Dept Of The Army, Dental Activity Stop B 2817 Reilly Rd, Mcds-Na-B
Fort Bragg NC 28310-0001
Phone: (910) 396-5610
Fax: (910) 396-7017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6076 | Kentucky |
Profile Details
| NPI number | 1760452114 |
|---|---|
| LBN Legal business name | Faison, Willie Russell |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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