DR. Jon R Willison, DDS

NPI #1013293760 in Fort Collins, Colorado

Provider Information

NPI Number: 1013293760
Entity Type: Individual
Name: DR. Jon R Willison, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DDS
Enumeration Date: Oct 26, 2011
Last Updated: Dec 11, 2019

Practice Location

Address: 1903 WILMINGTON DR UNIT 101
City: Fort Collins
State: Colorado
ZIP Code: 80528-6100
Phone: (970) 568-5255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Dentist - Endodontics — Endodontics	1223E0200X

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