DR. JEFFREY ALAN WILLIS (NPI# 1164040044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164040044 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY ALAN WILLIS |
| Credential | DDS |
| Practice Address |
3435 Main St Buffalo NY 14214-3001 |
| Mailing Address |
441 Normal Ave Buffalo NY 14213-2204 |
| Practice Telephone | 3152648576 |
| Mailing Telephone | 3152648576 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
0401416986 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265656466 | Jeffrey Scott Willis | Chiropractor | 24868 Apple St Ste 101, Santa Clarita, CA 91321-5038 | 2007-04-12 |
| 1669431870 | Jeffrey Jon Willis | Radiology | 835 E 145th St, Burnsville, MN 55337-4623 | 2006-03-17 |
| 1568950707 | Jeffrey Clay Willis | Occupational Therapy Assistant | 2564 Foxpointe Drive, Columbus, IN 47203 | 2018-04-24 |
| 1023301330 | Jeffrey Ryuta Willis | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 2400, Sacramento, CA 95817-2307 | 2011-05-18 |
| 1801978218 | Jeffrey A Willis | Physician Assistant | 30 Hagen Dr, Suite 100, Rochester, NY 14625-2658 | 2006-10-19 |
| 1558388520 | Jeffrey A Willis | Radiology | 6150 West Layton Avenue, Greenfield, WI 53220 | 2006-07-16 |
| Street Address |
3435 MAIN ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14214-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063413375 | Susan Carrie Mancuso | Nurse Practitioner | 3435 Main St, University of Buffalo /michael Hall, Buffalo, NY 14214-3001 | 2005-08-09 |
| 1730706680 | Rachel E Martin | Registered Nurse | 3435 Main St, Buffalo, NY 14214-3099 | 2020-06-26 |
| 1760008221 | Mihai Urichianu | Dentist | 3435 Main St, Buffalo, NY 14214-3001 | 2020-06-22 |
| 1831719905 | Osman Varol | Student in an Organized Health Care Education/Training Program | 3435 Main St, Buffalo, NY 14214-3001 | 2020-04-19 |
| 1477172229 | Kyung Ah Chung | Student in an Organized Health Care Education/Training Program | 3435 Main St, Buffalo, NY 14214-3099 | 2020-04-13 |
| 1295364966 | Michael Gregory Chernyak | Student in an Organized Health Care Education/Training Program | 3435 Main St, Buffalo, NY 14214-3001 | 2020-04-05 |
| 1235768961 | Albert H Kim | Student in an Organized Health Care Education/Training Program | 3435 Main St, Buffalo, NY 14214-3001 | 2020-04-04 |
| 1902447279 | Bandar Almaghrabi | Dentist | 3435 Main St, 215 Squire Hall, Buffalo, NY 14214 | 2019-10-08 |
| 1235786617 | Hacer Aksel | Dentist | 3435 Main St, Buffalo, NY 14214-3099 | 2019-08-21 |
| 1659939742 | Kathryn Michelle Pawlak | Student in an Organized Health Care Education/Training Program | 3435 Main St, Buffalo, NY 14214-3001 | 2019-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862935 | Hafiz Muhammad Fazeel | Student in an Organized Health Care Education/Training Program | 2157 Main Street Sisters Hospital Department of Medicin, Buffalo, NY 14214 | 2020-05-18 |
| 1962031542 | Sana Annan | Anesthesiology | 195 Holden St, Buffalo, NY 14214 | 2020-04-06 |
| 1508404401 | Gabrielle Korman | Counselor | 70 Jewett Parkway, Buffalo, NY 14214 | 2019-12-11 |
| 1215581541 | Ahmed Nagy Abdelrahman | Speech-Language Pathologist | 3435 Main Street 114 Cary Hall, University At Buffalo, Buffalo, NY 14214 | 2019-07-25 |
| 1316590086 | Megan Elizabeth Quinn | Social Worker | 34 Benwood Ave., Buffalo, NY 14214 | 2019-07-22 |
| 1235690553 | Iqra Qamar | Student in an Organized Health Care Education/Training Program | 2157 Main St. Sisters Hospital, Department of Medicine, 5th Floor, Buffalo, NY 14214 | 2019-03-28 |
| 1477034676 | April Forsaith Villacrusis | Specialist/Technologist | 18 Agassiz Circle, Attn: Athletics Dept., Buffalo, NY 14214 | 2018-08-24 |
| 1437656675 | Anum Nida | Student in an Organized Health Care Education/Training Program | Sisters of Charity Hospital, 2157 Main St 2nd Floor, Buffalo, NY 14214 | 2018-04-12 |
| 1710480173 | Wny Podiatric Associates Pllc | Podiatrist | 2121 Main St Ste 214, Buffalo, NY 14214 | 2018-03-13 |
| 1043738446 | Alexander Paul Peters | Physical Therapist | 53 Robie St, Apt 3, Buffalo, NY 14214 | 2017-09-06 |
| Find all providers in zip 14214 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871611996 | Frederick Michael Mcintyre | Dentist | 210a Squire Hall University Dental Associates, Ub School of Dental Medicine, Buffalo, NY 14214 | 2007-03-27 |
| 1881102366 | Rui Li | Dentist | 215 Squire Hall, Buffalo, NY 14214-8006 | 2018-01-18 |
| 1861921025 | David Anthony Dipalma | Dentist | 3435 Main St, Buffalo, NY 14214-3099 | 2017-06-09 |
| 1326492208 | Jessica Elyse Canallatos | Dentist | 462 Grider St, Buffalo, NY 14215 | 2016-04-18 |
| 1245669217 | Mcclure Dental Services | Dentist | 2000 Eggert Rd, Buffalo, NY 14226-2139 | 2013-11-11 |
| 1740620905 | Dana M Keblawi | Dentist | 3435 Main St, 215 Squire Hall, Buffalo, NY 14214-3001 | 2013-07-02 |
| 1770922783 | Amanda C Colebeck | Dentist | 462 Grider St, Dept of Oral Oncology and Maxillofacial Prosthetics, Buffalo, NY 14215-3021 | 2013-06-24 |
| 1841551652 | Paul Canallatos | Dentist | 462 Grider St, Buffalo, NY 14215 | 2012-06-07 |
| 1871812545 | Latifa Rahman Bairam | Dentist | 3435 Main St, 210 Squire Hall Suny At Buffalo, Buffalo, NY 14214-3001 | 2010-05-20 |
| 1437486750 | Christopher Roy Pusateri | Dentist | 3435 Main St, University Dental Associates - 210a Squire Hall, Buffalo, NY 14214-3001 | 2009-11-06 |
| Find all providers in BUFFALO | ||||
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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.