Willis, Jeffrey Alan

Willis, Jeffrey Alan is an individual health care provider with primary practice located at 620 John Paul Jones Cir , Portsmouth VA 23708-2111. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Willis, Jeffrey Alan can be contacted via phone (757) 953-8323.

Contact Information

Primary practice address
620 John Paul Jones Cir Portsmouth VA 23708-2111
Phone: (757) 953-8323
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 1188483 New York

Profile Details

NPI number 1164040044
LBN Legal business name Willis, Jeffrey Alan
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2020
Last updated Nov 30th, 2022 - about 2 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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