DR. JOHN M WILLIS (NPI# 1215093018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215093018 |
| Entity Type | Individual |
| Full Name | DR. JOHN M WILLIS |
| Credential | DDS |
| Practice Address |
6 Fundy Rd Falmouth ME 04105-1705 |
| Practice Telephone | 2077812272 |
| Practice Fax Number | 2077813605 |
| Mailing Telephone | 2077812272 |
| Mailing Fax Number | 2077813605 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2312 | ME | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 107710099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922355155 | John Churchill Willis IIi | Internal Medicine | 823 Weeden Island Dr, Niceville, FL 32578-3724 | 2012-08-07 |
| 1700021425 | John Glen Willis | Counselor | 1030 Johnson Rd Ste 286, Golden, CO 80401-6003 | 2008-12-09 |
| 1205891207 | John M Willis | Internal Medicine | 2800 E Broad St Ste 512, Mansfield, TX 76063-6417 | 2006-04-20 |
| 1356310577 | John Curtis Willis | Chiropractor | 305 Allegheny St, Richlands, VA 24641 | 2006-03-17 |
| 1548253172 | John A Willis | Orthopaedic Surgery | 130 N Street Ext, Hyannis, MA 02601-3825 | 2005-08-30 |
| 1063952190 | John Willis | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2017-03-08 |
| 1205211208 | John Macphee Willis | Dentist | 160 E. Erie Ave, St. Christopher's Hospital for Children, Attn: Dental, Philadelphia, PA 19134 | 2015-07-21 |
| 1619393493 | John Willis | Pharmacist | 1401 Minnesota Ave, Libby, MT 59923-2309 | 2014-03-17 |
| 1356763791 | John Willis | Pharmacist | 6131 E Southern Ave, Mesa, AZ 85206-3732 | 2014-01-18 |
| 1275831703 | John Evan Willis | Nurse Practitioner | 4810 Whitesport Cir Sw, Suite 110, Huntsville, AL 35801-7419 | 2011-03-08 |
| Street Address |
6 FUNDY RD |
| City | FALMOUTH |
| State | ME |
| Zip Code | 04105-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639529332 | Beverley Litchfield | Dental Hygienist | 6 Fundy Rd, Falmouth, ME 04105-1779 | 2016-06-14 |
| 1720432321 | Trisha Sarah Labbe | Dental Hygienist | 6 Fundy Rd, Suite 200, Falmouth, ME 04105-1779 | 2016-04-20 |
| 1528412137 | Kayla Guerette | Dental Hygienist | 6 Fundy Rd, Suite 200, Falmouth, ME 04105-1779 | 2016-04-20 |
| 1043506892 | Catherine Krouse | Family Medicine | 6 Fundy Rd, Suite 400, Falmouth, ME 04105-1779 | 2011-06-21 |
| 1053648733 | Cara Dionne | Dental Hygienist | 6 Fundy Rd, Suite 200, Falmouth, ME 04105-1779 | 2009-11-17 |
| 1649408626 | Michael Corey Brown Dowling | Dentist | 6 Fundy Rd, Falmouth, ME 04105 | 2009-06-29 |
| 1619168655 | Falmouth Pediatric Dentistry | Dentist | 6 Fundy Rd, Falmouth, ME 04105-1705 | 2007-08-06 |
| 1750415931 | Whitney Wignall | Dentist | 6 Fundy Rd, Falmouth, ME 04105-1705 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790134906 | Marsea Spiegel | Massage Therapist | 4 Fundy Rd, Aon Wellness Center, Suite 105, Falmouth, ME 04105 | 2016-06-08 |
| 1033368691 | Lori Ann Coffin | Speech-Language Pathologist | 193 Foreside Road, Falmouth, ME 04105 | 2008-09-18 |
| 1699959478 | Daniel Evert Feldman | Specialist | 50 Depot Rd., Falmouth, ME 04105 | 2007-12-28 |
| 1417130089 | Annette Bonnie Mueller | Nurse Practitioner | 202 Us Route 1, Suite 200, True North Health Center, Falmouth, ME 04105 | 2007-12-06 |
| 1225241912 | Falmouth School Department | Local Education Agency (LEA) | 51 Woodville Road, Falmouth, ME 04105 | 2007-05-08 |
| 1891810255 | Donna Lynne Keenan | Physical Therapist | U.S. Route One, Falmouth, ME 04105 | 2007-03-21 |
| 1306973938 | Andrea M Hall | Physical Therapist | 367 Us Rt One, Falmouth, ME 04105 | 2007-02-28 |
| 1427191907 | Falmouth Vision Center | Technician/Technologist | 204 Us Route One, Falmouth, ME 04105 | 2007-02-15 |
| 1588719314 | Catherine Marion Bernard | Physical Therapist | 50 Depot Rd, Falmouth, ME 04105 | 2007-01-24 |
| 1164597928 | Casco Bay Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 256 Us Route One, Suite 5, Falmouth, ME 04105 | 2006-11-21 |
| Find all providers in zip 04105 | ||||
| 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 |
|---|---|---|---|---|
| 1376030296 | Ashley Marie Soliman | Dentist | 210 Jones Rd, Falmouth, MA 02540-2974 | 2018-04-16 |
| 1649408626 | Michael Corey Brown Dowling | Dentist | 6 Fundy Rd, Falmouth, ME 04105 | 2009-06-29 |
| 1619168655 | Falmouth Pediatric Dentistry | Dentist | 6 Fundy Rd, Falmouth, ME 04105-1705 | 2007-08-06 |
| 1750415931 | Whitney Wignall | Dentist | 6 Fundy Rd, Falmouth, ME 04105-1705 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632997 | Dirigo Pediatric Dentistry | Dentist | 701 Us Route 1 Ste 3, Yarmouth, ME 04096-6927 | 2019-01-09 |
| 1467835678 | Mainely Kids & Teens, LLC | Dentist | One Cumberland Pl, Ste 116, Bangor, ME 04401-5083 | 2015-07-07 |
| 1386931376 | Coastal Maine Pediatric Dentistry | Dentist | 84 Baribeau Dr, Brunswick, ME 04011-3218 | 2011-06-29 |
| 1225222698 | Emily B Scholl | Dentist | 80 Pleasant St, Brunswick, ME 04011-2203 | 2007-08-29 |
| 1023131679 | Jonathan D Shenkin | Dentist | 792 Stillwater Ave, Bangor, ME 04401-3617 | 2007-04-09 |
| 1366574675 | Just for Kids Pediatric Dentistry, Pa | Dentist | 313 Us Route 1, Scarborough, ME 04074-9701 | 2007-03-12 |
| 1902940364 | York County Pediartic Dentistry, Pa | Dentist | 5 Webhannet Pl, Suite 1, Kennebunk, ME 04043-7275 | 2007-02-19 |
| 1841380037 | Linda A Eberhardt | Dentist | 24 Penn Plaza, Bangor, ME 04401 | 2006-10-16 |
| 1194810143 | Sheila L Brijade | Dentist | 1048 Union Street, Bangor, ME 04401 | 2006-10-04 |
| 1568485019 | Malcolm Stuart Foster | Dentist | 85 Baribeau Dr, Brunswick, ME 04011-3249 | 2006-07-25 |
| 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.