DR. WILLIAM LEE WILLIS (NPI# 1528150299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528150299 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM LEE WILLIS |
| Credential | DDS |
| Practice Address |
2510 Nw Kline St Roseburg OR 97470 |
| Practice Telephone | 5416724899 |
| Practice Fax Number | 5419579907 |
| Mailing Telephone | 5416724899 |
| Mailing Fax Number | 5419579907 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 7215 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063539351 | William E Willis Jr. | Dentist | 108 Babb Drive, Lebanon, TN 37087 | 2007-03-23 |
| 1033179478 | William Allen Willis Jr. | Psychiatry & Neurology | 2850 Village Dr, Suite 103, Fayetteville, NC 28304-3864 | 2006-03-27 |
| 1003415324 | William Philip Willis | Chiropractor | 1413 Kingsley Ave, Orange Park, FL 32073-4527 | 2020-10-19 |
| 1134695588 | William Christopher Willis Jr. | Social Worker | 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 | 2018-10-23 |
| 1912457060 | William Willis | Counselor | 111 Lamon St, Suite 103, Fayetteville, NC 28301-4901 | 2016-10-12 |
| 1073947313 | William Paul Willis | Hearing Instrument Specialist | 11800 Se 82nd Ave, Happy Valley, OR 97086-7711 | 2013-08-22 |
| 1851536692 | William R Willis | Physical Therapist | 20 School St, Bradford, PA 16701-1257 | 2008-12-09 |
| 1972520567 | William Wyatt Willis | Family Medicine | 126 Trivette Dr, Suite 102, Pikeville, KY 41501-1275 | 2006-07-17 |
| 1376572990 | William N Willis | Chiropractor | 2829 Dallas St Nw, Kennesaw, GA 30144-2704 | 2006-07-03 |
| 1205875846 | William A Willis | General Practice | 104 Wall St, Poteau, OK 74953 | 2006-06-06 |
| Street Address |
2510 NW KLINE ST |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922439876 | Alexis Atchinson | Dentist | 1100 Nw Garden Valley Blvd, Roseburg, OR 97471-1923 | 2013-12-03 |
| 1902244619 | Jed R. Norman Dds LLC | Dentist | 1813 W Harvard Ave Ste 221, Roseburg, OR 97471-8704 | 2013-06-05 |
| 1568771194 | James J Hein | Dentist | 150 Kenneth Ford Dr., Roseburg, OR 97470 | 2010-09-30 |
| 1104131978 | Jerry Powell May | Dentist | 2392 Nw Esquire Dr, Roseburg, OR 97471-1702 | 2010-08-17 |
| 1740439165 | Brian K Bogardus | Dentist | 2365 Nw Stewart Pkwy, Roseburg, OR 97471-5653 | 2008-09-09 |
| 1740346766 | Bruce Arthur Ohara | Dentist | 2365 N Stewart Parkway, Roseburg, OR 97470 | 2006-12-28 |
| 1326131970 | Geoffrey A Stark | Dentist | 1602 Nw Hughwood Ct, Roseburg, OR 97470-8844 | 2006-10-02 |
| 1851348437 | Robert M Orr | Dentist | 544 W. Umpqua St, Roseburg, OR 97470 | 2006-05-28 |
| 1801881974 | Joe Wayne Howard Jr. | Dentist | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470 | 2005-09-15 |
| 1962400812 | Rob Orr Dds PC | Dentist | 1539 W Harvard Ave, Roseburg, OR 97470-2873 | 2005-07-13 |
| Find all providers in ROSEBURG | ||||
Please comment or provide details below to improve the information on DR. WILLIAM LEE WILLIS.
| 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.