DR. ROBERT MERLE WILLARD


Address: 2536 Farragut Dr, Springfield, IL 62704-1433
Phone: 2177874455

DR. ROBERT MERLE WILLARD (NPI# 1417047838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417047838
Entity Type Individual
Full Name DR. ROBERT MERLE WILLARD
Credential D.D.S.
Practice Address 2536 Farragut Dr
Springfield
IL 62704-1433
Mailing Address 1408 Woods Farm Ln
Springfield
IL 62704-6431
Practice Telephone 2177874455
Practice Fax Number 2177871439
Mailing Telephone 2175463814
Mailing Fax Number 2177871439
Enumeration Date 2006-10-14
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
0210000923 IL Dental Providers

Other Providers ROBERT WILLARD

NPI Name Taxonomy Address Enumeration
1427097427 Robert J Willard Dermatology 610 Farm Ln, Doylestown, PA 18901-4753 2006-06-05
1659314052 Robert Forrest Willard Psychologist 12012 Wickchester Ln, Suite 550, Houston, TX 77079-1229 2006-06-14

Office Location

Street Address 2536 FARRAGUT DR
City SPRINGFIELD
State IL
Zip Code 62704-1433

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902394901 Hillary Haaker Occupational Therapist 2035 W Iles, Suite C, Springfield, ID 62704 2018-04-25
1871095364 Edward Doyle Slifer Sr. Pathology 2117 Greenside Drive, Spring Field, IL 62704 2018-03-01
1598263345 Santarelli & Feller Dental Group Dentist 1140 Rickard Road, Suite B, Springfield, IL 62704 2018-01-26
1447774757 Lisa Ann Rogers Developmental Therapist 2101 Lexington Dr, Apt 3, Springfield, IL 62704 2017-07-28
1730611286 Mindi Rowe Occupational Therapist 2508 County Rd 4 1/2 E, Springfield, IL 62704 2017-04-03
1366992208 Jayme Jordan Contractor 2409 Westchester Blvd, Springfield, IL 62704 2016-10-04
1154793974 Dina Payne Social Worker 917 Clocktower Drive, Suite 600, Springfield, IL 62704 2015-10-21
1770959819 James R Reynolds Hearing Instrument Specialist 2347 W Monroe St, Springfield, IL 62704 2015-08-12
1336576495 Emily Jane Dungey Counselor 920 S Spring St Ste 1300, Springfield, IL 62704 2013-10-03
1942552161 Jeannie Marie Hundley Specialist/Technologist, Other 2921 Monvale Drive, Springfield, IL 62704 2012-10-11
Find all providers in zip 62704

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013409887 Springfield Pediatric Dentistry Dentist 3130 Tom Austin Hwy Ste B, Springfield, TN 37172 2018-06-06
1770999658 Shehzad Muhammad Sajid Dentist 7200 Jillspring Ct, Springfield, VA 22152 2014-07-11
1265858021 John Han D.d.s., P.C. Dentist 6120 Brandon Ave Ste 114, Springfield, VA 22150-2504 2014-03-17
1174804280 Nahee Williams Mcdonald Dds PC Dentist 7841f Rolling Rd, Springfield, VA 22153-2821 2011-09-01
1619177854 Nahee Williams Mcdonald Dentist 7841 Rolling Road, Suite F, Springfield, VA 22153 2007-07-24
1346457983 Scott H Leaf Dentist 7841 Rolling Rd # F, Springfield, VA 22153-2821 2007-05-16
1225243173 Anne Tran Nghiem Dentist 200 Birnie Ave, No Tooth Left Behind Dental Clinic, Springfield, MA 01107-1102 2007-05-14
1730243296 Susan M Maurer Dentist 3020 Happy Landing Dr, Springfield, IL 62711-6259 2006-12-20
1568533727 Springfield Smiles Youth Dentistry, LLC Dentist 376 Cooley St, Springfield, MA 01128-1144 2006-11-10
1427139872 Joseph Michael Pruitt Dentist 1324 E Montclair St, Springfield, MO 65804-4245 2006-10-18
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 62704

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Dataset Information

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.

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