DR. PAUL RICHARD WILLY (NPI# 1619085701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619085701 |
| Entity Type | Individual |
| Full Name | DR. PAUL RICHARD WILLY |
| Credential | DENTIST DDS |
| Practice Address |
1950 Plymouth Ave Waterloo IA 50702 |
| Practice Telephone | 3192913908 |
| Practice Fax Number | 3192914077 |
| Mailing Telephone | 3192913908 |
| Mailing Fax Number | 3192914077 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 3203015 | WI | Dental Providers |
| Y | 122300000X | Dentist | 6925 | IA | Dental Providers |
| Street Address |
1950 PLYMOUTH AVE |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407831746 | Carol Halloran | Dentist | 1950 Plymouth Ave, Waterloo, IA 50702-3524 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1659869915 | Alicia M Johnson | Advanced Practice Midwife | 439 King Street, Waterloo, IA 50702 | 2018-04-23 |
| 1427591411 | Alexandra E. Becker | Specialist/Technologist | 4157 Mourning Dove Drive, Waterloo, IA 50702 | 2016-11-23 |
| 1255793196 | Eastern Iowa Therapeutics PC | Physical Therapist | 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 | 2016-03-21 |
| 1972859288 | Noble Cedar Psychological Institute | Psychologist | 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 | 2012-07-24 |
| 1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
| Find all providers in zip 50702 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699102954 | Graham L Beard | Dentist | 208 Bradford Ln, Waterloo, IL 62298-3267 | 2013-10-02 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1801052915 | Benjamin Robert Peterson | Dentist | 424 South St., Waterloo, IA 50701 | 2008-07-29 |
| 1487876710 | Paymun Bayati | Dentist | 1022 West 5th St, Waterloo, IA 50702 | 2007-05-03 |
| 1730309949 | Rene Ann Dutkowski Ludens | Dentist | 208 Olympic Dr., Waterloo, IA 50701-5240 | 2007-04-27 |
| 1063575769 | Louis E Montgomery | Dentist | 1010 E Mitchell Ave, Off #3, Waterloo, IA 50702-3300 | 2006-12-18 |
| 1053472902 | James Robert Nelson | Dentist | 239 East San Marnan Dr, Waterloo, IA 50702 | 2006-12-13 |
| 1700977691 | Thomas G Friedman | Dentist | 1047 Thorndale Ave, Waterloo, IA 50701 | 2006-09-27 |
| 1407831746 | Carol Halloran | Dentist | 1950 Plymouth Ave, Waterloo, IA 50702-3524 | 2005-12-09 |
| 1760094668 | Pavneet Momi | Dentist | 2765 Crossroads Blvd, Waterloo, IA 50702-4409 | 2020-08-20 |
| Find all providers in WATERLOO | ||||
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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.