DR. WILLIS GILSON CARDOT JR. (NPI# 1720092984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720092984 |
| Entity Type | Individual |
| Full Name | DR. WILLIS GILSON CARDOT JR. |
| Credential | D.M.D. |
| Practice Address |
2609 W 8th St Erie PA 16505-4022 |
| Practice Telephone | 8148333703 |
| Mailing Telephone | 8148333703 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2015-12-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DS022416L | PA | Dental Providers |
| N | 174400000X | Specialist | DS022416L | PA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1027786760001 | 05 |
| Street Address |
2609 W 8TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16505-4022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275634 | Megan Elizabeth Rahill | Registered Nurse | 610 Seminole Dr, Erie, PA 16505 | 2018-05-16 |
| 1740784222 | Tracy Zong Cheng | Student in an Organized Health Care Education/Training Program | 1645 W 8th Street, Suite 200, Erie, PA 16505 | 2018-03-20 |
| 1073067724 | Epeople Health Care Inc | Home Health | 2133 W 8th St, Erie, PA 16505 | 2016-08-11 |
| 1629424411 | Kimberly Roderick | Registered Nurse | 1324 S. Shore Drive Apt. G07, Erie, PA 16505 | 2016-05-11 |
| 1437516432 | April Vogeley | Counselor | 1004 Farrell Road, Erie, PA 16505 | 2016-01-21 |
| 1538563499 | Laurence William Veihdeffer | Dentist | 2021 W 8 St., Erie, PA 16505 | 2014-10-21 |
| 1255617908 | Shannon Renee Luke | Licensed Practical Nurse | 1416 Custer Dr., Erie, PA 16505 | 2011-10-26 |
| 1699904227 | William Jackson Koehler | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505 | 2009-07-02 |
| 1972747657 | Kristen Marie Huber | Counselor | 823 Filmore Ave, Erie, PA 16505 | 2009-04-27 |
| 1851556351 | Stephanie Lynn Miller | Technician, Other | 2564 West 12th St., Erie, PA 16505 | 2008-07-23 |
| Find all providers in zip 16505 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
| 1972836187 | Dr. David Verlinich LLC Dba Erie Orthodontics | Dentist | 615 Mitchell Way, Suite 106, Erie, CO 80516 | 2009-09-08 |
| 1609074400 | William M Wilcko | Dentist | 6066 Peach St, Erie, PA 16509 | 2007-07-03 |
| 1629298427 | J D Utley Jr Dmd PC | Dentist | 3900 Zuck Road, Erie, PA 16506 | 2007-04-26 |
| 1649391582 | Doleski and Wolford Orthodontics, P.C. | Dentist | 3230 W 38th St, Erie, PA 16506-4202 | 2007-04-02 |
| 1699812768 | Andrew John Kwasny | Dentist | 3219 Peach St, Erie, PA 16508-2735 | 2007-01-30 |
| 1033264445 | Randy J Ashoff | Dentist | 2437 W 26th St, Erie, PA 16506-3220 | 2007-01-24 |
| 1609933654 | Kevin David Dunlavey | Dentist | 5125 Zuck Rd, Erie, PA 16506-4941 | 2007-01-02 |
| 1245390509 | Clifton Theodore Forsberg | Dentist | 4626 Peach St, Erie, PA 16509-2007 | 2006-12-09 |
| 1902919152 | Jeffrey Alan Benson | Dentist | 2141 W 8th St, Erie, PA 16505-4764 | 2006-08-15 |
| Find all providers in ERIE | ||||
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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.