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Dr. Nancy Willis, DDS
Pediatric Dentist in Scranton, Pennsylvania
NPI 1104982206

Nancy Willis is a Pediatric Dentist based in Scranton, PA and is specialized in Pediatric Dentistry. Nancy Willis practices in Scranton, PA and has the professional credentials of DDS. The NPI Number for Nancy Willis is 1104982206 and holds a License No. DS 027099-L (Pennsylvania).

The current practice location address for Nancy Willis is 387 N 9Th Ave, Scranton, PA and can be reached out via phone at 570-343-8885.

Location: 387 N 9Th Ave, Scranton, PA, 18504-2005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104982206
Provider Name
Nancy Willis
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
387 N 9Th Ave, Scranton, PA, 18504-2005
Phone Number
570-343-8885
Fax Number
Provider Enumeration Date
12/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DS 027099-L 01 PA PA STATE DENTAL LICENSE
0012201610001 05 PA
669980 01 PA UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
387 N 9Th Ave
City
Scranton
State
Pennsylvania
Zip
18504-2005
Phone Number
570-343-8885
Fax Number
person
Provider Business Mailing Address Details
Address
387 N 9Th Ave
City
Scranton
State
Pennsylvania
Zip
18504-2005
Phone Number
570-343-8885
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DS 027099-L (Pennsylvania)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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