Willis, Austin Tyler

Willis, Austin Tyler is an individual health care provider with primary practice located at 402 Carriage Dr , Beckley WV 25801-2806. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Willis, Austin Tyler can be contacted via phone (304) 255-0439.

Contact Information

Primary practice address
402 Carriage Dr Beckley WV 25801-2806
Phone: (304) 255-0439
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4336 West Virginia

Profile Details

NPI number 1588145429
LBN Legal business name Willis, Austin Tyler
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2018
Last updated Aug 28th, 2018 - about 8 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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