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Contact Information

TERRI L WILLIS, DMD
113 PLANTATION AVE
SUITE A
CEDARTOWN, GA30125
 Phone: 770-748-2622
 Fax: 770-749-1976
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for TERRI L WILLIS · (Female)

NPI # 1417168808
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 05/25/2007
Last updated 10/06/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # DN013531
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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