Willis, Robert Douglas

Willis, Robert Douglas is an individual health care provider with primary practice located at 7282 Oswego Rd , Liverpool NY 13090-3719. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Willis, Robert Douglas can be contacted via phone (315) 451-6260.

Contact Information

Primary practice address
7282 Oswego Rd Liverpool NY 13090-3719
Phone: (315) 451-6260
Fax: (315) 451-1022
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 033342 New York

Profile Details

NPI number 1700946381
LBN Legal business name Willis, Robert Douglas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jul 8th, 2007 - about 18 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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