DR. ROY ALAN WILLIS (NPI# 1427266048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427266048 |
| Entity Type | Individual |
| Full Name | DR. ROY ALAN WILLIS |
| Credential | D.D.S. |
| Practice Address |
1650 Walnut St Harrisburg PA 17103-2350 |
| Mailing Address |
4817 Sweetbrier Ter Harrisburg PA 17111-3618 |
| Practice Telephone | 7172323958 |
| Mailing Telephone | 7175647504 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2012-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS023102L | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0008718660001 | 05 |
| Street Address |
1650 WALNUT ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17103-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508912551 | I John Roemig | Dentist | 1650 Walnut St, Harrisburg, PA 17103-2350 | 2007-01-25 |
| 1790830289 | Bruce Blumenfeld | Dentist | 1650 Walnut St, Harrisburg, PA 17103-2350 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790115491 | Jessica Leigh Taylor | Psychologist | 2601 Herr St, Harrisburg, PA 17103 | 2013-11-15 |
| 1679892988 | Judith Ann Mccrea | Social Worker | 2318 Walnut Street, Harrisburg, PA 17103 | 2010-05-26 |
| 1972621597 | Pennsylvania Department of Public Welfare | Psychiatric Hospital | Cameron and Maclay, Dpw Bfo Ros, Harrisburg, PA 17103 | 2007-03-26 |
| 1205967759 | Daystar Center for Spiritual Recovery | Substance Abuse Rehabilitation Facility | 125 N. 18th St., Harrisburg, PA 17103 | 2007-03-08 |
| 1851573794 | Angela Lynn Miller | Counselor | 1 Greystone Rd, Carlisle, PA 17103 | 2007-12-03 |
| 1215125943 | Jonise Mcdaniel | Dentist | 1313 Monroe St, Harrisburg, PA 17103-1139 | 2007-10-09 |
| 1558531749 | Hamilton Health Center@ Downey | Clinic/Center | 1313 Monroe St, Harrisburg, PA 17103-1139 | 2008-03-04 |
| 1063870004 | Jessica M Johnson | Registered Nurse | 228 N 14th St, Harrisburg, PA 17103-1305 | 2016-02-05 |
| 1053710814 | Miracle Group Inc | Community/Behavioral Health | 1800 State St, Harrisburg, PA 17103-1551 | 2014-08-18 |
| 1710170881 | Rejoice Inc. | Supports Brokerage | 1800 State St, Harrisburg, PA 17103-1551 | 2007-08-22 |
| Find all providers in zip 17103 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972745 | Harrisburg Family Dental LLC | Dentist | 225 N. Cliff Ave, Suite 2, Harrisburg, SD 57032 | 2020-08-12 |
| 1184134751 | Ryan Londry & David Modlin II Dds Pllc | Dentist | 5408 Nc Highway 49 S, Harrisburg, NC 28075-8469 | 2017-10-09 |
| 1295263259 | Anirudh Patel | Dentist | 4601 Devonshire Rd # 102, Harrisburg, PA 17109-1547 | 2017-06-02 |
| 1083141055 | Jared Michael Richard | Dentist | 4700 Union Deposit Rd Ste 210, Harrisburg, PA 17111-3774 | 2017-05-22 |
| 1225265267 | Dental Dreams, LLC | Dentist | 3867 Union Deposit Rd, Harrisburg, PA 17109-5920 | 2009-06-17 |
| 1043447550 | Erica W Armstrong | Dentist | 808 N Illinois St, Harrisburg, AR 72404 | 2009-06-11 |
| 1639321672 | Uptown Family Dentistry | Dentist | 2626 N 3rd Street, Suite 3c, Harrisburg, PA 17110 | 2008-10-22 |
| 1962650572 | John Howard Kiessling | Dentist | 6460 Jonestown Rd, Harrisburg, PA 17112-2638 | 2008-09-08 |
| 1124286984 | Scott Kevin Leedy | Dentist | 3106 Walnut Street, Harrisburg, PA 17109 | 2008-05-29 |
| 1235310160 | Michael Alan Wojdylak | Dentist | 61 Roosevelt St, Harrisburg, PA 17111-4143 | 2007-11-20 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.