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DR. SALLY R. WILLIS PSC NPI 1710052998


NPI Information

NPI: 1710052998
Provider Name: DR. SALLY R. WILLIS, PSC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
7600 OUTER LOOP
LOUISVILLE, KY
ZIP 40228
Phone: (502) 231-9970
Get Directions

DR. SALLY R. WILLIS, PSC is a general practice dentist in Louisville, KY. 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. DR. SALLY R. WILLIS, PSC NPI is 1710052998. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7600 OUTER LOOP
LOUISVILLE, KY
ZIP 40228-729
Phone: (502) 231-9970
Fax: (502) 231-9972

The provider's authorized official is Sally R. Willis .
The authorized official title is President and has the following contact phone number (502) 231-9970.

The enumeration date for this NPI number is 11/22/2006 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 Practice5032KENTUCKYYes

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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