Gordon-Willis, Patricia Lynn

Gordon-Willis, Patricia Lynn is an individual health care provider with primary practice located at 2643 Randleman Rd , Greensboro NC 27406-5153. She recently has 4 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Dentist, Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Pediatric Dentistry is her primary health care specialty. Gordon-Willis, Patricia Lynn can be contacted via phone (336) 544-2758.

Contact Information

Primary practice address
2643 Randleman Rd Greensboro NC 27406-5153
Phone: (336) 544-2758
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 12416 North Carolina
Dental Providers / Dentist 122300000X DN014937 Georgia
Dental Providers / General Practice 1223G0001X DEN1000945 District of Columbia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1578762076
LBN Legal business name Gordon-Willis, Patricia Lynn
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated Nov 22nd, 2021 - about 5 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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