| Willis General Dentistry | |
|
1000 Lakeland Square Ext Ste 700 Flowood MS 39232-7648 | |
| (601) 933-0009 | |
| Not Available |
| Full Name | Willis General Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1000 Lakeland Square Ext Ste 700, Flowood, Mississippi |
| Authorized Official Name and Position | Sheldon Willis (DENTIST) |
| Authorized Official Contact | 6019330009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willis General Dentistry 1000 Lakeland Square Ext Ste 700 Flowood MS 39232-7648 Ph: (601) 933-0009 | Willis General Dentistry 1000 Lakeland Square Ext Ste 700 Flowood MS 39232-7648 Ph: (601) 933-0009 |
| NPI Number | 1316106115 |
|---|---|
| Provider Enumeration Date | 06/05/2008 |
| Last Update Date | 06/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316106115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 327903 (Mississippi) | Primary |
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