Cardot, Willis Gilson

Cardot, Willis Gilson is an sole proprietor health care provider with primary practice located at 2609 W 8Th St , Erie PA 16505-4022. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Cardot, Willis Gilson can be contacted via phone (814) 833-3703.

Contact Information

Primary practice address
2609 W 8Th St Erie PA 16505-4022
Phone: (814) 833-3703
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X DS022416L Pennsylvania
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DS022416L Pennsylvania

Profile Details

NPI number 1720092984
LBN Legal business name Cardot, Willis Gilson
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Dec 15th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720092984 NPPES
Pennsylvania MEDICAID 1027786760001

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