Individual
JOHN T. WILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1470 PANTOPS MOUNTAIN PL STE 1, CHARLOTTESVILLE, VA 22911-4662
(434) 817-1817
Mailing address
211 SPRUCE ST, CHARLOTTESVILLE, VA 22902-5940
(931) 212-3197
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
57656
CA
1223D0004X
Dental Anesthesiology
Primary
040142934
VA
1223D0004X
Dental Anesthesiology
9109
TN
Other
Enumeration date
11/26/2008
Last updated
10/05/2021
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