Jack Ralph Willert, D.D.S.

General Practice Dentistry · Oshkosh, WI

Individual Active NPI

NPI number 1811033343

Practice location

1835 W Pointe Dr
Oshkosh, WI 54902-4174
Phone
(920) 231-3140
Fax
(920) 231-5040

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NPI record

NPI
1811033343
Entity type
Individual (Type 1)
Enumeration date
January 30, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 5001833 WI

About Dr. Willert

Jack Ralph Willert, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1835 W Pointe Dr, Oshkosh, WI 54902-4174. The NPI number 1811033343 was assigned on January 30, 2007 and the record was last updated on July 8, 2007.

Dr. Willert lists a license in the registry: #5001833 (WI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack Ralph Willert, D.D.S.?

The NPI number is 1811033343.

What is the phone number of Dr. Willert?

The phone number listed for the practice location is (920) 231-3140.

Where is Dr. Willert located?

1835 W Pointe Dr, Oshkosh, WI 54902-4174.

What is the taxonomy code for Dr. Willert?

The primary taxonomy code is 1223G0001X – General Practice 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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