WARREN WILLIS DMD P.C. NPI 1255577490

NPI Information

WARREN WILLIS DMD P.C. is a general practice dentist in Emmett, ID. 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. WARREN WILLIS DMD P.C. NPI is 1255577490. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Emmett Dental Group P.c..

The provider's business location address is:

119 N WARDWELL AVE
EMMETT, ID
ZIP 83617-040
Phone: (208) 365-6313

The provider's authorized official is Warren Richard Willis .
The authorized official title is Owner and has the following contact phone number (208) 365-6313.

The enumeration date for this NPI number is 12/17/2008 and was last updated on 12/17/2008.

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:

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