Whalio Doctors

NPI 1013681527

Kevin John Will, DMD

Practitioner Dentist Shaw Afb, SC

Practice location

Address
431 Meadowlark St, Shaw Afb, SC 29152-5019
Phone
(803) 895-6988
Mailing address
6495 Montpelier Ln, Sumter, SC 29154-8863

Registered specialties

Dentist Primary
Dental Providers Taxonomy 122300000X Licence 9640 (SC)

Registry record

NPI
1013681527
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Aug 2021
Record last updated
7 Aug 2021

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.