MICHAEL K WILLIS DMD PA (NPI# 1417118381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417118381 |
| Entity Type | Organization |
| Organization Name | MICHAEL K WILLIS DMD PA |
| Practice Address |
47 Barkley Cir Fort Myers FL 33907-7531 |
| Practice Telephone | 2399360181 |
| Practice Fax Number | 2399360468 |
| Mailing Telephone | 2399360181 |
| Mailing Fax Number | 2399360468 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | DR. MICHAEL K WILLIS (PRESIDENT) |
| Authorized Official Telephone | 2399360181 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
FL 4738 | FL | Dental Providers |
| Street Address |
47 BARKLEY CIR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-7531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912091869 | Michael Kenneth Willis | Dentist | 47 Barkley Cir, Fort Myers, FL 33907-7531 | 2006-10-03 |
| 1548499445 | Jared T Ford | Dentist | 47 Barkley Cir, Fort Myers, FL 33907-7734 | 2009-07-13 |
| 1013161736 | Paul Samuel Decarlo Jr. | Dentist | 47 Barkley Cir, Fort Myers, FL 33907-7531 | 2008-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| 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 |
|---|---|---|---|---|
| 1710505359 | Ariosto Rosado | Dentist | 16960 Alico Mission Way Ste 100, Fort Myers, FL 33908-4844 | 2020-07-09 |
| 1972141430 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 16159 Myriad Ln, Fort Myers, FL 33908-3483 | 2019-12-16 |
| 1407404320 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 12021 Palm Beach Blvd, Fort Myers, FL 33905-4807 | 2019-09-04 |
| 1073084307 | Mobile Dental Care of Florida LLC | Dentist | 1431 Poinciana Ave, Fort Myers, FL 33901-5926 | 2018-12-16 |
| 1831660026 | Happy Smiles of Port Saint Lucie | Dentist | 2675 Winkler Ave Ste 450, Fort Myers, FL 33901-9329 | 2018-12-16 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1962989566 | Samarah A Al-jamali | Dentist | 9330 Ben Pratt/6 Mi Cypress #4, Fort Myers, FL 33966 | 2018-07-26 |
| 1861908683 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5245 Big Pine Way Ste 103, Fort Myers, FL 33907-5924 | 2017-12-15 |
| 1346754900 | Amelia Mercedes Caceres Tejada | Dentist | 3230 Forum Blvd, Fort Myers, FL 33905-5580 | 2017-11-18 |
| 1407372824 | Erik Matthew Skates | Dentist | 10551 6 Mile Cypress Pkwy, Fort Myers, FL 33966-6461 | 2017-08-17 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
Please comment or provide details below to improve the information on MICHAEL K WILLIS DMD PA.
| 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.