Individual
DR. DAVID MARK WILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2775 BISHOP RD, SUITE C, WICKLIFFE, OH 44092-2683
(440) 944-7775
(440) 944-7887
Mailing address
2775 BISHOP RD, SUITE C, WICKLIFFE, OH 44092-2683
(440) 944-7775
(440) 944-7887
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30014345
OH
1223G0001X
General Practice Dentistry
014345
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34-1910479
TAX ID
—
Enumeration date
12/12/2006
Last updated
09/21/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us