MR. MICHAEL S WILLIS D.M.D. NPI 1912917238

NPI Information

  • NPI: 1912917238
  • Provider Name: MR. MICHAEL S WILLIS, D.M.D.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 445 HENSLEE DRIVE
    STE B
    DICKSON, TN
    ZIP 37055
  • Phone: (615) 441-1441

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NPI Details

MR. Michael S Willis, D.M.D. is an oral and maxillofacial surgery dentist in Dickson, TN. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. MR. Michael S Willis, D.M.D. NPI is 1912917238. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

445 HENSLEE DRIVE
STE B
DICKSON, TN
ZIP 37055
Phone: (615) 441-1441
Fax: (615) 441-1460

The enumeration date for this NPI number is 8/9/2006 and was last updated on 10/27/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryDN011177FLORIDANo
21223S0112XDentistOral and Maxillofacial SurgeryDN11177FLORIDANo
31223S0112XDentistOral and Maxillofacial Surgery9672TENNESSEENo
41223S0112XDentistOral and Maxillofacial SurgeryDS9672TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
124550MEDICARE PINFLORIDA
2U01783MEDICARE UPINFLORIDA
324650MEDICARE PINFLORIDA

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: 11/21/2025

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