Whalio Doctors

NPI 1013293760

Jon R Willison, DDS

Practitioner Endodontics Fort Collins, CO

Practice location

Address
1903 Wilmington Dr Unit 101, Fort Collins, CO 80528-6100
Phone
(970) 568-5255

Registered specialties (4)

Endodontics Primary
Dental Providers Taxonomy 1223E0200X Licence 00203801 (CO)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X Licence DEN.00203801 (CO)
Endodontics
Dental Providers Taxonomy 1223E0200X Licence 1517 (WY)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X Licence 2013042229 (MO)

Registry record

NPI
1013293760
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Oct 2011
Record last updated
11 Dec 2019

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.