ROBERT DOUGLAS WILLIS (NPI# 1700946381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700946381 |
| Entity Type | Individual |
| Full Name | ROBERT DOUGLAS WILLIS |
| Credential | D.D.S. |
| Practice Address |
7282 Oswego Rd Liverpool NY 13090-3719 |
| Practice Telephone | 3154516260 |
| Practice Fax Number | 3154511022 |
| Mailing Telephone | 3154516260 |
| Mailing Fax Number | 3154511022 |
| Enumeration Date | 2006-12-12 |
| 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 |
033342 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750931200 | Robert K. Willis | Counselor | 2818 Appaloosa Run, Ellenwood, GA 30294-3968 | 2019-09-17 |
| 1629445259 | Robert Willis | Behavioral Analyst | 6311 N 15th St, Lincoln, NE 68521-8976 | 2015-08-31 |
| 1730525874 | Robert Scott Willis | Hearing Instrument Specialist | 104 E Moore St, Valdosta, GA 31602-2911 | 2013-05-16 |
| 1710967443 | Robert Addison Willis | Dentist | 204 E Lincoln Ave, Wellington, KS 67152-3061 | 2006-01-19 |
| 1073507182 | Robert L Willis | Neuromusculoskeletal Medicine & OMM | 201 S Carter St, Carterville, MO 64835-1451 | 2005-09-02 |
| 1093218349 | Robert Lawrence Willis | Counselor | 111 N Patterson St, Valdosta, GA 31601-5515 | 2018-03-13 |
| 1295268829 | Robert Grant Willis | Surgery | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2017-04-11 |
| 1407250665 | Robert Willis | Social Worker | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2014-10-17 |
| 1023399516 | Robert William Willis | Physical Therapy Assistant | 14502 Greenview Dr, Suite 408, Laurel, MD 20708-3287 | 2011-08-29 |
| 1255620746 | Robert A. Willis | Marriage & Family Therapist | 204 Jefferson St, Suite 106, N Wilkesboro, NC 28659-3586 | 2011-04-05 |
| Street Address |
7282 OSWEGO RD |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13090-3719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841368610 | Charu Saini Chaudhery | Dentist | 7282 Oswego Rd, Liverpool, NY 13090-3719 | 2006-12-01 |
| 1063871564 | The Kid's Dentist, PC | Clinic/Center | 7282 Oswego Rd, Liverpool, NY 13090-3719 | 2016-02-12 |
| 1770924003 | Christopher Alan Rozhon | Dentist | 7282 Oswego Rd, Liverpool, NY 13090-3719 | 2013-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214821 | Kerry Prunotto Dal | Dietitian, Registered | 8403 Sugar Pine Circle, Liverpool, NY 13090 | 2020-08-05 |
| 1619536596 | Victoria Angela Didomenico | Licensed Practical Nurse | 4364 Princess Path, Liverpool, NY 13090 | 2019-06-13 |
| 1063987386 | Alison Fasano | Massage Therapist | 4205 Long Branch Rd., Clay Chiropractic/athlonmt/ste.3, Liverpool, NY 13090 | 2018-10-13 |
| 1275028540 | Alexis Marie Degennaro | Speech-Language Pathologist | 7672 Mountain Ash, Liverpool, NY 13090 | 2018-06-28 |
| 1164891560 | Lyndsey Noel Martin | Nurse Practitioner | 7953 Orion Path, Liverpool, NY 13090 | 2015-09-16 |
| 1326423765 | Mary Beth Witte | Occupational Therapist | 3774 State Route 31, Apt 1508, Liverpool, NY 13090 | 2015-07-28 |
| 1801274808 | Heather C Eldredge | Contractor | 104 Eagles Pointe Circle, Liverpool, NY 13090 | 2015-05-11 |
| 1881084861 | Brian Tarolli | Massage Therapist | 7960 Oswego Road, Liverpool, NY 13090 | 2015-01-29 |
| 1164825469 | Tara Hilmanowski | Nurse Practitioner | 7375 Oswego Rd Ste 1, Liverpool, NY 13090 | 2014-09-30 |
| 1609280452 | Samantha Whittemore | Registered Nurse | 7815 Anadale Lane, Liverpool, NY 13090 | 2014-06-19 |
| Find all providers in zip 13090 | ||||
| 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 |
|---|---|---|---|---|
| 1124019088 | Eric O Pettit | Dentist | 4820 West Taft Road, Suite 204, Liverpool, NY 13088 | 2005-10-31 |
| 1770924003 | Christopher Alan Rozhon | Dentist | 7282 Oswego Rd, Liverpool, NY 13090-3719 | 2013-07-15 |
| 1861552564 | Margaret Cameron Madonian | Dentist | 600 Oswego St, Liverpool, NY 13088-5178 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557059 | Smiles and Grins Pediatric Dentistry | Dentist | 160 E 88th St Apt 1d, New York, NY 10128-2217 | 2020-10-30 |
| 1891395810 | Ez Orthodontics Pllc | Dentist | 4010 82nd St Fl 2, Elmhurst, NY 11373-1305 | 2020-10-28 |
| 1346858677 | Kids Dental of Queens PC | Dentist | 4236 82nd St # C, Elmhurst, NY 11373-3537 | 2020-07-22 |
| 1073131512 | Prohealth Dental Pllc | Dentist | 2318 31st St Ste 320, Astoria, NY 11105-2765 | 2020-07-10 |
| 1952929911 | Kiddsmiles Pediatric Dentistry 7 Pllc | Dentist | 263 Jericho Tpke, Floral Park, NY 11001-2146 | 2020-07-07 |
| 1376177782 | Pco Ortho LLC | Dentist | 3422 35th St, Long Island City, NY 11106-1268 | 2020-02-24 |
| 1033749916 | Yehuda Marciano Dds PC | Dentist | 932 Broadway Ste 1, Woodmere, NY 11598-1723 | 2020-01-20 |
| 1710521752 | Asnis Dental Pllc | Dentist | 800 N Broadway, Massapequa, NY 11758-2335 | 2019-11-02 |
| 1760026777 | Dr. Stephen A Festa-pediatric Dentistry Pllc | Dentist | 3755 76th St Bsmt Apt, Jackson Heights, NY 11372-6552 | 2019-11-01 |
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| 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.