DR. ROBERT ADDISON WILLIS (NPI# 1710967443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710967443 |
| Entity Type | Individual |
| Full Name | DR. ROBERT ADDISON WILLIS |
| Credential | D.D.S. |
| Practice Address |
204 E Lincoln Ave Wellington KS 67152-3061 |
| Practice Telephone | 6203266261 |
| Practice Fax Number | 6203266172 |
| Mailing Telephone | 6203266261 |
| Mailing Fax Number | 6203266172 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5422 | KS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750931200 | Robert K. Willis | Counselor | 2818 Appaloosa Run, Ellenwood, GA 30294-3968 | 2019-09-17 |
| 1629445259 | Robert Willis | Behavioral Analyst | 6311 N 15th St, Lincoln, NE 68521-8976 | 2015-08-31 |
| 1730525874 | Robert Scott Willis | Hearing Instrument Specialist | 104 E Moore St, Valdosta, GA 31602-2911 | 2013-05-16 |
| 1073507182 | Robert L Willis | Neuromusculoskeletal Medicine & OMM | 201 S Carter St, Carterville, MO 64835-1451 | 2005-09-02 |
| 1093218349 | Robert Lawrence Willis | Counselor | 111 N Patterson St, Valdosta, GA 31601-5515 | 2018-03-13 |
| 1295268829 | Robert Grant Willis | Surgery | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2017-04-11 |
| 1407250665 | Robert Willis | Social Worker | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2014-10-17 |
| 1023399516 | Robert William Willis | Physical Therapy Assistant | 14502 Greenview Dr, Suite 408, Laurel, MD 20708-3287 | 2011-08-29 |
| 1255620746 | Robert A. Willis | Marriage & Family Therapist | 204 Jefferson St, Suite 106, N Wilkesboro, NC 28659-3586 | 2011-04-05 |
| 1689974636 | Robert Willis Jr. | Pharmacist | 6220 E 14th Ave, Denver, CO 80220-2747 | 2010-10-25 |
| Street Address |
204 E LINCOLN AVE |
| City | WELLINGTON |
| State | KS |
| Zip Code | 67152-3061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417373556 | Khan Noohani Md Pa | Psychiatric Unit | 1323 North A Street, Sumner Regional Medical Center, Wellington, KS 67152 | 2014-03-13 |
| 1114266293 | Symmetris, P.a. | Dentist | 122 E. Lincoln, Wellington, KS 67152 | 2013-02-08 |
| 1851485502 | Wellington Family Dentistry | Dentist | 119 East Lincoln, Wellington, KS 67152 | 2006-10-03 |
| 1073553871 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1111 W 8th St, Wellington, KS 67152 | 2006-06-08 |
| 1629071816 | City of Wellington | Emergency Medical Technician, Basic | 200 North C Street, Suite 200, Wellington, KS 67152 | 2005-05-23 |
| 1356861355 | E.b. Enterprises LLC | Assisted Living Facility | 401 N Woodlawn St, Wellington, KS 67152 | 2017-06-21 |
| 1184753113 | Angela L Baker | Social Worker | 1601 W 16th St, Wellington, KS 67152 | 2007-03-05 |
| 1275619504 | Sumner Mental Health Center | Counselor | 1601 West 16th Street, Wellington, KS 67152 | 2006-10-30 |
| 1629352877 | Cherished Friends LLC | Assisted Living Facility | 924 S Washington Ave, Wellington, KS 67152-2201 | 2011-10-06 |
| 1427009612 | Ggnsc Wellington LLC | Skilled Nursing Facility | 102 W Botkin St, Wellington, KS 67152-2302 | 2006-05-13 |
| Find all providers in zip 67152 | ||||
| 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 |
|---|---|---|---|---|
| 1972954238 | Mona Britt Herold | Dentist | 10416 Saint Germain Ct, Wellington, FL 33449-8058 | 2016-06-28 |
| 1326395740 | Nothern Colorado Family Dentistry | Dentist | 7859 6th St # 150, Wellington, CO 80549-1517 | 2012-08-06 |
| 1235433863 | Acde | Dentist | 12012 S Shore Blvd, Suite 211, Wellington, FL 33414-6203 | 2010-12-22 |
| 1548421340 | Tuong Ai Ngo | Dentist | 11924 Forest Hill Blvd Ste 10, Wellington, FL 33414-6200 | 2008-06-24 |
| 1942478953 | Jennifer Caitlyn Kocher | Dentist | 12300 S Shore Blvd Ste 208, Wellington, FL 33414-6237 | 2008-02-12 |
| 1265610968 | Marisol Lopez-belio | Dentist | 1200 Corporate Center Way Ste 101, Wellington, FL 33414-2108 | 2008-02-05 |
| 1699955468 | Ricky S Shaffren | Dentist | 2785 Shaughnessy Dr, Wellington, FL 33414-6495 | 2007-11-09 |
| 1619185444 | Wellington Dental Office | Dentist | 12783 W Forest Hill Blvd, Suite J, Wellington, FL 33414-4709 | 2007-05-17 |
| 1801001425 | Miguel R Grillo | Dentist | 9136 Forest Hill Blvd, Wellington, FL 33411-6564 | 2007-05-14 |
| 1679790257 | Mary Lynn Licht | Dentist | 11924 W Forest Hill Blvd Ste 10, Wellington, FL 33414-6200 | 2007-04-18 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 67152 |
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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.