Organization
ALBERT E. WILLIS, D.M.D., M.D., P.C.
Active
Organization
ALBERT E. WILLIS, D.M.D., M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT E. WILLIS II D.M.D., M.D. (PRESIDENT)
(256) 464-7873
Entity
Organization
Contact information
Practice address
540 HUGHES RD, SUITE 6, MADISON, AL 35758-8999
(256) 464-7873
(256) 464-7864
Mailing address
540 HUGHES RD, SUITE 6, MADISON, AL 35758-8999
(256) 464-7873
(256) 464-7864
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
16039
AL
Other
Enumeration date
02/08/2007
Last updated
08/20/2014
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