Individual
MR. MICHAEL S WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
445 HENSLEE DRIVE, STE B, DICKSON, TN 37055
(615) 441-1441
(615) 441-1460
Mailing address
445 HENSLEE DRIVE, STE B, DICKSON, TN 37055
(615) 441-1441
(615) 441-1460
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9672
TN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN011177
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN11177
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS9672
TN
Other
Enumeration date
08/09/2006
Last updated
10/27/2016
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