| Dr. Sally R. Willis, Psc | |
|
7600 Outer Loop Louisville KY 40228-1729 | |
| (502) 231-9970 | |
| (502) 231-9972 |
| Full Name | Dr. Sally R. Willis, Psc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7600 Outer Loop, Louisville, Kentucky |
| Authorized Official Name and Position | Sally R. Willis (PRESIDENT) |
| Authorized Official Contact | 5022319970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Sally R. Willis, Psc 7600 Outer Loop Louisville KY 40228-1729 Ph: (502) 231-9970 | Dr. Sally R. Willis, Psc 7600 Outer Loop Louisville KY 40228-1729 Ph: (502) 231-9970 |
| NPI Number | 1710052998 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710052998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5032 (Kentucky) | Primary |
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