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HEATHER A WILLIS DDS LLC NPI 1144508128


NPI Information

NPI: 1144508128
Provider Name: HEATHER A WILLIS DDS LLC

Doing Business As: SPRUCE ROOTS FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4001 GEIST RD
STE 5B
FAIRBANKS, AK
ZIP 99709
Phone: (907) 479-3326
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HEATHER A WILLIS DDS LLC is a general practice dentist in Fairbanks, AK. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. HEATHER A WILLIS DDS LLC NPI is 1144508128. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Spruce Roots Family Dentistry.

The provider's business location address is:

4001 GEIST RD
STE 5B
FAIRBANKS, AK
ZIP 99709-552
Phone: (907) 479-3326

The provider's authorized official is Christopher Willis .
The authorized official title is Director Of Operations and has the following contact phone number (907) 687-3491.

The enumeration date for this NPI number is 7/25/2011 and was last updated on 7/25/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice1252ALASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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