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R. GLEN WILLIS DMD PA NPI 1063581270


NPI Information

NPI: 1063581270
Provider Name: R. GLEN WILLIS, DMD, PA

Doing Business As: WILLIS AND HOOK DENTAL ASSOCIATES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1144 INDIA HOOK RD STE F
ROCK HILL, SC
ZIP 29732
Phone: (803) 327-4166
Get Directions

R. GLEN WILLIS, DMD, PA is a general practice dentist in Rock Hill, SC. 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. R. GLEN WILLIS, DMD, PA NPI is 1063581270. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Willis And Hook Dental Associates.

The provider's business location address is:

1144 INDIA HOOK RD STE F
ROCK HILL, SC
ZIP 29732-400
Phone: (803) 327-4166
Fax: (803) 327-2086

The provider's authorized official is Ralph G Willis .
The authorized official title is Dentist Owner and has the following contact phone number (803) 327-4166.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 8/22/2020.


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 Practice3242SOUTH CAROLINAYes

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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