Heather a Willis DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1252 Issued in AK

Legal business name

HEATHER A WILLIS DDS LLC

Practice address

4001 Geist Rd
Ste 5B
Fairbanks, AK 99709-3552

Phone

(907) 479-3326

NPI assigned

Jul 25, 2011

Organization subpart

No

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

Authorized official

Name

Christopher Willis

Title

Director of Operations

Phone

(907) 687-3491

Specialties & licenses 1

Addresses

Other names 1

• Spruce Roots Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James A Cerney, DDS

  • General Practice Dentistry
  • Fairbanks, AK
  • NPI 1962426700
  NPD (past)

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1144508128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 GEIST RD",
            "address_2": "STE 5B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093552",
            "telephone_number": "907-479-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 GEIST RD",
            "address_2": "STE 5B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093552",
            "telephone_number": "907-479-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER A WILLIS DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "907-687-3491"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "1252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spruce Roots Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heartland Care Assisted Living
• Marshall Heaster, PHARMD
• Mary E Heaster, R.PH.
• Jessica Heath-Oatman
• Mackenzee Heath, SLP-CCC
• Heather L. Woller, M.D., LLC
• Heavenly Hands Direct Care Services LLC
• Jessica R Hedge, ICADC, CRADC, CDCS
• Lovonnya Louise Hedgepeth, CDC I
• Robert Heffle

• General Practice Dentistry in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.