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Dr. Timothy O Willis, DDS
General Practice Dentistry in Westville, Indiana
NPI 1114905619

Timothy O Willis is a General Practice Dentistry based in Westville, IN and is specialized in General Practice. Timothy O Willis practices in Westville, IN and has the professional credentials of DDS. The NPI Number for Timothy O Willis is 1114905619 and holds a License No. 12007712A (Indiana).

The current practice location address for Timothy O Willis is 444 N Flynn Rd, Westville, IN and can be reached out via phone at 219-785-4609 and via fax at 219-785-4600. You can also correspond with Timothy O Willis through the mailing address at PO BOX 106, WESTVILLE, IN - 46391-0106 (mailing address contact number: 219-785-4609).

Location: 444 N Flynn Rd, Westville, IN, 46391-0106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114905619
Provider Name
Timothy O Willis
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
444 N Flynn Rd, Westville, IN, 46391-0106
Phone Number
219-785-4609
Fax Number
219-785-4600
Provider Enumeration Date
01/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
444 N Flynn Rd
City
Westville
State
Indiana
Zip
46391-9647
Phone Number
219-785-4609
Fax Number
219-785-4600
person
Provider Business Mailing Address Details
Address
Po Box 106
City
Westville
State
Indiana
Zip
46391-0106
Phone Number
219-785-4609
Fax Number
219-785-4600
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12007712A (Indiana)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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