NPI 1184024630

Albert Willis, DMDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Madison, AL

Practice location

Address: 540 Hughes Rd Suite 6, Madison, AL 35758-8999
Phone: (256) 464-7873
Fax: (256) 464-7864

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 16039 (AL)

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Registry record

NPI: 1184024630
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Sep 2014
Record last updated: 2 Sep 2014

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.