Robert Merle Willard, D.D.S.

Pediatric Dentistry · Springfield, IL

Individual Active NPI

NPI number 1417047838

Practice location

2536 Farragut Dr
Springfield, IL 62704-1433
Phone
(217) 787-4455
Fax
(217) 787-1439

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NPI record

NPI
1417047838
Entity type
Individual (Type 1)
Enumeration date
October 14, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X 0210000923 IL

Mailing address

1408 Woods Farm Ln
Springfield, IL 62704-6431
Phone
(217) 546-3814
Fax
(217) 787-1439

About Dr. Willard

Robert Merle Willard, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 2536 Farragut Dr, Springfield, IL 62704-1433. The NPI number 1417047838 was assigned on October 14, 2006 and the record was last updated on July 8, 2007.

Dr. Willard lists a license in the registry: #0210000923 (IL) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Merle Willard, D.D.S.?

The NPI number is 1417047838.

What is the phone number of Dr. Willard?

The phone number listed for the practice location is (217) 787-4455.

Where is Dr. Willard located?

2536 Farragut Dr, Springfield, IL 62704-1433.

What is the taxonomy code for Dr. Willard?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry.

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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