Individual
DR. JOHN M WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6 FUNDY RD, FALMOUTH, ME 04105-1705
(207) 781-2272
(207) 781-3605
Mailing address
6 FUNDY RD, FALMOUTH, ME 04105-1705
(207) 781-2272
(207) 781-3605
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2312
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107710099
—
ME
Enumeration date
12/28/2006
Last updated
07/08/2007
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