TRAVIS WILLEY DDS PC NPI 1043717382

NPI Details

TRAVIS WILLEY, DDS PC is a dentist in Fort Collins, CO. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. TRAVIS WILLEY, DDS PC NPI is 1043717382. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Family & Cosmetic Dentistry Of The Rockies.

The provider's business location address is:

4745 BOARDWALK DR STE D102
FORT COLLINS, CO
ZIP 80525-773
Phone: (970) 223-6101
Fax: (970) 530-1593

The provider's authorized official is Teresa Venekamp .
The authorized official title is Office Manager and has the following contact phone number (970) 223-6101.

The CLIA number assigned to this NPI record is 06D2314676 - other - behavorial health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2018 and was last updated on 4/12/2018.

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: