Dr Giles Willis Jr. DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8047 Issued in NC

Legal business name

DR GILES WILLIS JR. DDS, PA

Practice address

208 Ashville Ave
Suite 40
Cary, NC 27511-6678

Phone

(919) 854-5524

Fax

(919) 854-5526

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Giles Willis Jr.

Title

DDS

Phone

(919) 372-9548

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124241864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 ASHVILLE AVE",
            "address_2": "SUITE 40",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116678",
            "telephone_number": "919-854-5524",
            "fax_number": "919-854-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 ASHVILLE AVE",
            "address_2": "SUITE 40",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116678",
            "telephone_number": "919-854-5524",
            "fax_number": "919-854-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GILES WILLIS JR. DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "GILES",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "919-372-9548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Cary, NC
• Providers in Cary, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.