Willham, Oliver Lee
Willham, Oliver Lee is an sole proprietor health care provider with primary practice located at 7400 Fleur Dr Ste 100 , Des Moines IA 50321-3105. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Willham, Oliver Lee can be contacted via phone (515) 285-6134.Contact Information
Primary practice address
7400 Fleur Dr Ste 100
Des Moines IA 50321-3105
Phone: (515) 285-6134
Fax: (515) 285-2249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 7331 | Iowa |
Profile Details
| NPI number | 1063835569 |
|---|---|
| LBN Legal business name | Willham, Oliver Lee |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 4th, 2014 |
| Last updated | Feb 4th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063835569 | NPPES |
| Iowa | MEDICAID | 1578697058 |
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