NPI 1013016104

Sheldon Willis, DDS

Practitioner Dentist Flowood, MS

Practice location

Address: 1000 Lakeland Square Ext Suite 700, Flowood, MS 39232-7620
Phone: (601) 933-0009

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D6926 (AZ)

Other Dentist providers in Mississippi →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 3279-03 (MS)

Registry record

NPI: 1013016104
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Sep 2006
Record last updated: 28 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.