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Haley Willis, DDS
Pediatric Dentist in Durham, North Carolina
NPI 1881120582

Haley Willis is a Pediatric Dentist based in Wake Forest, NC and is specialized in Pediatric Dentistry. Haley Willis practices in Durham, NC and has the professional credentials of DDS. The NPI Number for Haley Willis is 1881120582 and holds a License No. 30.025784 (North Carolina).

The current practice location address for Haley Willis is 3616 Durham Chapel Hill Blvd, Durham, NC and can be reached out via phone at 919-493-2569.

Location: 3616 Durham Chapel Hill Blvd, Durham, NC, 27587-6160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881120582
Provider Name
Haley Willis
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
3616 Durham Chapel Hill Blvd, Durham, NC, 27587-6160
Phone Number
919-493-2569
Fax Number
Provider Enumeration Date
05/02/2017
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
3616 Durham Chapel Hill Blvd
City
Durham
State
North Carolina
Zip
27707-2661
Phone Number
919-493-2569
Fax Number
person
Provider Business Mailing Address Details
Address
3616 Durham Chapel Hill Blvd
City
Durham
State
North Carolina
Zip
27707-2661
Phone Number
919-493-2569
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
17539 (Maryland)
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.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
30.025784 (Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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