Timothy Gay Willis, DDS

Dentist · Yreka, CA

Individual Active NPI

NPI number 1225161680

Practice location

310 Evergreen Ln
Yreka, CA 96097-3203
Phone
(530) 842-5332
Fax
(530) 842-9029

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NPI record

NPI
1225161680
Entity type
Individual (Type 1)
Enumeration date
March 14, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 29525 CA

About Dr. Willis

Timothy Gay Willis, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 310 Evergreen Ln, Yreka, CA 96097-3203. The NPI number 1225161680 was assigned on March 14, 2007 and the record was last updated on July 8, 2007.

Dr. Willis lists a license in the registry: #29525 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Timothy Gay Willis, DDS?

The NPI number is 1225161680.

What is the phone number of Dr. Willis?

The phone number listed for the practice location is (530) 842-5332.

Where is Dr. Willis located?

310 Evergreen Ln, Yreka, CA 96097-3203.

What is the taxonomy code for Dr. Willis?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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