Miles, Larry Willis

Miles, Larry Willis is an sole proprietor health care provider with primary practice located at 2105 Dawson Rd , Albany GA 31707-3207. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Miles, Larry Willis can be contacted via phone (229) 432-2213.

Contact Information

Primary practice address
2105 Dawson Rd Albany GA 31707-3207
Fax: (229) 432-5888
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN013118 Georgia

Profile Details

NPI number 1215033667
LBN Legal business name Miles, Larry Willis
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Jul 8th, 2007 - about 17 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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