DR. NANCY WILLIS (NPI# 1104982206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104982206 |
| Entity Type | Individual |
| Full Name | DR. NANCY WILLIS |
| Credential | D.D.S. |
| Practice Address |
387 N 9th Ave Scranton PA 18504-2005 |
| Practice Telephone | 5703438885 |
| Mailing Telephone | 5703438885 |
| Enumeration Date | 2006-12-31 |
| Last Update Date | 2020-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS 027099-L | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0012201610001 | 05 | |
| PA | UNITED CONCORDIA | 669980 | 01 |
| PA | PA STATE DENTAL LICENSE | DS 027099-L | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437787637 | Nancy Roberts Willis | Social Worker | The Growth and Recovery Center, 452 Germantown Pike, Lafayette Hill, PA 19444 | 2020-04-01 |
| 1770865180 | Nancy A Willis | Counselor | 2504 Diffee Dr., Tahlequah, OK 74464 | 2011-09-12 |
| 1437188927 | Nancy Kay Willis | Chiropractor | 2829 Dallas St Nw, Kennesaw, GA 30144-2704 | 2006-06-30 |
| 1528374907 | Nancy Jean Willis | Social Worker | 819 S Salina St, Syracuse, NY 13202-3527 | 2010-08-24 |
| 1851568778 | Nancy Willis | Physical Therapist | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2008-05-09 |
| 1235331471 | Nancy Ausbon Willis | Counselor | 100 Billingsley Rd, Charlotte, NC 28211-1002 | 2007-06-01 |
| 1245280197 | Nancy Willis | Nurse Anesthetist, Certified Registered | 200 Hawthorne Lane, Charlotte, NC 28204 | 2006-05-11 |
| Street Address |
387 N 9TH AVE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18504-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307991 | Nancy Willis, Dds | Dentist | 387 N 9th Ave, Scranton, PA 18504-2005 | 2020-02-05 |
| 1346418977 | Dmla Corporation | Clinical Medical Laboratory | 387 N 9th Ave, Scranton, PA 18504-2005 | 2008-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972141984 | Stephanie Weisel | Counselor | 228 South Main Street, Scranton, PA 18504 | 2019-12-20 |
| 1326517889 | Rebecca L Connor | Chiropractor | 2953 Frink Street, Scranton, PA 18504 | 2018-11-14 |
| 1598217028 | Fresenius Medical Care West Scranton, LLC | Clinic/Center | 321 Meridian Ave, Scranton, PA 18504 | 2016-11-01 |
| 1902296999 | Heart To Heart D/b/a Caring Matters Home Care | In Home Supportive Care | 118 South Main Avenue, Scranton, PA 18504 | 2015-01-28 |
| 1366846156 | Roy Gilgallon | Counselor | 431 Rear Wyoming Ave, Scranton, PA 18504 | 2014-10-22 |
| 1659706596 | Megan Oswald | Speech-Language Pathologist | 1024 Acker Ave, Scranton, PA 18504 | 2013-09-11 |
| 1912272261 | Shannon Ritterbusch | Occupational Therapist | 1252 Rundle, Scranton, PA 18504 | 2012-03-20 |
| 1407992761 | Vip Look Inc | Durable Medical Equipment & Medical Supplies | 455 N Main Ave, Scranton, PA 18504 | 2007-01-30 |
| 1073604443 | Patrick F Cioni | Counselor | 138 S Cameron Avenue, Scranton, PA 18504 | 2006-09-28 |
| 1104935808 | Vincent Luciano Ross | Pediatrics | 442 N Main Ave, Scranton, PA 18504 | 2006-08-29 |
| Find all providers in zip 18504 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629123344 | Nidia P Marchese | Dentist | 313 Mulberry St, Scranton, PA 18503-1221 | 2007-01-24 |
| 1699307991 | Nancy Willis, Dds | Dentist | 387 N 9th Ave, Scranton, PA 18504-2005 | 2020-02-05 |
| 1891189353 | Lucas Robert Carubia | Dentist | 313 Mulberry St, Scranton, PA 18503-1221 | 2015-03-23 |
| 1033404215 | Hyun S Choi | Dentist | 313 Mulberry St, Scranton, PA 18503-1221 | 2011-06-15 |
| 1073696498 | Alan H Firestone | Dentist | 401 Adams Ave, Suite 301, Scranton, PA 18510-2025 | 2006-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598309106 | Sea of Smiles 4 LLC | Dentist | 361 Highland Ave Ste 203, Jenkintown, PA 19046-2632 | 2019-11-06 |
| 1538701594 | John Capparell & Connie Mallozzi | Dentist | 20 N Laurel St # 2-c, Hazleton, PA 18201-5948 | 2019-10-11 |
| 1215584503 | Bright Smiles Kids Dentistry | Dentist | 410 W Lancaster Ave Ste 106, Devon, PA 19333-1588 | 2019-08-21 |
| 1841846458 | Bensalem, Smiles Inc | Dentist | 2548 Street Rd, Bensalem, PA 19020-2644 | 2019-08-11 |
| 1154976991 | Advanced Pediatric Dentistry LLC | Dentist | 220 Cumberland Pkwy Ste 6&7, Mechanicsburg, PA 17055-5683 | 2019-08-08 |
| 1205495512 | Lanz Pediatric Dentistry, LLC | Dentist | 3402 Washington Rd Ste 205, Mc Murray, PA 15317-2964 | 2019-06-10 |
| 1982267084 | Farm Park Pediatric Dentistry | Dentist | 502 W Germantown Pike Ste 100, East Norriton, PA 19403-4232 | 2019-04-15 |
| 1053878892 | Alexis Gilliam | Dentist | 2820 Whiteford Rd, York, PA 17402-7620 | 2019-02-28 |
| 1346705050 | Happy Teeth Proffesionals, LLC | Dentist | 165 Levittown Pkwy Ste B, Levittown, PA 19055-2464 | 2019-02-06 |
| 1902373111 | Cavity Busters Doylestown LLC | Dentist | 708 N Shady Retreat Rd Ste 2, Doylestown, PA 18901-2503 | 2018-10-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.