DR. JOHN R WILLOUGHBY (NPI# 1245487453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245487453 |
| Entity Type | Individual |
| Full Name | DR. JOHN R WILLOUGHBY |
| Credential | DDS, PHD |
| Practice Address |
4326 George Washington Highway Yorktown VA 23692-2707 |
| Practice Telephone | 5408670174 |
| Mailing Telephone | 5408670174 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2010-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401412434 | VA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
049-23517 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | DENTAL LICENSE # --- VIRGINIA | 0401412434 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962847533 | John Patrick Willoughby | Internal Medicine | 50505 Schoenherr Rd Ste 290, Shelby Twp, MI 48315-3141 | 2013-05-08 |
| 1316067002 | John W. Willoughby | Dentist | 2501 Coolidge Rd, Suite 201, East Lansing, MI 48823-6352 | 2007-03-29 |
| 1073602330 | John A. Willoughby | Psychiatry & Neurology | 900 N Orange St, Suite 202, Missoula, MT 59802-2998 | 2006-10-12 |
| Street Address |
4326 GEORGE WASHINGTON HIGHWAY |
| City | YORKTOWN |
| State | VA |
| Zip Code | 23692-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114400884 | Mary Amanda Gray | Dietitian, Registered | 5306 Old Virginia Street, Urbanna, VA 23692 | 2018-09-10 |
| 1932687142 | Janice Stewart | Counselor | 3804 George Washington Mem Hwy, Yorktown, VA 23692 | 2018-07-31 |
| 1679063523 | Heritage Pharmacy LLC | Pharmacy | 5922b George Washington Mem Hwy, Yorktown, VA 23692 | 2018-05-16 |
| 1437655461 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 6500 George Washington Mem Hwy Ste C, Grafton, VA 23692 | 2018-03-30 |
| 1730571985 | Sentara Medical Group | Internal Medicine | 100 Enterprise Dr, Yorktown, VA 23692 | 2015-02-25 |
| 1427392315 | Anna Katherina Ristow | Specialist/Technologist | 9300 George Washington Ave, Yorktown, VA 23692 | 2012-11-16 |
| 1225340714 | Jamie Banuski | Voluntary or Charitable | 7307 George Washington Mem Hwy, Pmb511, Yorktown, VA 23692 | 2010-07-13 |
| 1174719793 | Grafton Smile Care | Clinic/Center | 4030 - A George Washington Hwy, Grafton, VA 23692 | 2007-09-18 |
| 1497949713 | Sayward E. Duggan Dds Ms PC | Clinic/Center | 4310 George Washington Memorial Highway, Yorktown, VA 23692 | 2007-08-29 |
| 1679691307 | Carol A. Pittman | Dentist | 4310 George Washington Hwy, Yorktown, VA 23692 | 2007-03-27 |
| Find all providers in zip 23692 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497241244 | George Michos | Dentist | 3120 Kiln Creek Pkwy, Yorktown, VA 23693-5648 | 2018-07-05 |
| 1285924100 | Red Star Dental | Dentist | 202 St.clair Cirle, Apt K, Yorktown, VA 23693 | 2011-04-12 |
| 1740428168 | Yorktown Dental | Dentist | 4326 George Washington Mem Hwy, Yorktown, VA 23692-2707 | 2009-01-22 |
| 1578725503 | James E Harrison Jr. | Dentist | 3212 Hampton Highway, Suite A, Yorktown, VA 23693-4948 | 2008-07-01 |
| 1457511420 | Keith E Vaughan | Dentist | 6521 George Washington Mem Hwy, Yorktown, VA 23692-2169 | 2008-06-13 |
| 1760653943 | Anthony Lewis Martin | Dentist | 119 Village Ave Ste C, Yorktown, VA 23693-5643 | 2008-03-17 |
| 1568632370 | Jeffrey L Ezekiel Dds PC | Dentist | 3301 Hampton Hwy Ste M, Yorktown, VA 23693-2967 | 2008-03-07 |
| 1922277250 | Chand A. Syed | Dentist | 106 Yorktown Rd, Yorktown, VA 23693-3500 | 2008-02-20 |
| 1902927841 | Robert W George Dds | Dentist | 3212 Hampton Hwy, Suite A, Yorktown, VA 23693-4904 | 2007-04-02 |
| 1679691307 | Carol A. Pittman | Dentist | 4310 George Washington Hwy, Yorktown, VA 23692 | 2007-03-27 |
| Find all providers in YORKTOWN | ||||
Please comment or provide details below to improve the information on DR. JOHN R WILLOUGHBY.
| 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.