Hamil J Willoughby, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

027222 Issued in NY

Practice address

184 Sullivan Hall
Stony Brook University School of Dental Medicine
Stony Brook, NY 11794-8705

Phone

(631) 632-8975

Fax

(631) 632-3747

NPI assigned

Aug 28, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. J Hamil Willoughby Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1104074525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MEREDITH AVE",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "119633224",
            "telephone_number": "631-725-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 SULLIVAN HALL",
            "address_2": "STONY BROOK UNIVERSITY SCHOOL OF DENTAL MEDICINE",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948705",
            "telephone_number": "631-632-8975",
            "fax_number": "631-632-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOUGHBY",
        "first_name": "HAMIL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "027222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "WILLOUGHBY",
            "middle_name": "HAMIL",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Daryl W Williams, MD
• Dominique Williams, MD
• Juliet Williams, PSYD
• Oluwatomisin Oluwafeyisola Williams, DO
• Samantha Williams
• Paul Willoughby, M.D.
• Maxwell Alex Wills, MD
• Eve Wilson, PA
• Alexander Winkler-Schwartz, MD, CM
• Helene Debra Winstanley, ANP

• Oral and Maxillofacial Surgery (Dentist) in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.