Sheldon Willis, DDS

NPI #1013016104 in Flowood, Mississippi

Provider Information

NPI Number: 1013016104
Entity Type: Individual
Name: Sheldon Willis, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 22, 2006
Last Updated: Jun 28, 2008

Practice Location

Address: 1000 LAKELAND SQUARE EXT
Address 2: SUITE 700
City: Flowood
State: Mississippi
ZIP Code: 39232-7620
Phone: (601) 933-0009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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