NPI 1104347897

Joseph Willis

Practitioner Dentist Bartlesville, OK

Practice location

Address: 1224 SE Washington Blvd, Bartlesville, OK 74006-4425
Phone: (217) 540-5100

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 6975 (OK)

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Registry record

NPI: 1104347897
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jul 2017
Record last updated: 3 Jul 2017

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.