Danielle Ann Willard, RDH
Individual provider Active NPI Dental Hygienist · Bartonville, IL
NPI 1144934373 · NPPES record last updated Jan 11, 2023
Key facts
- NPI
- 1144934373
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 020014960 (IL)
- Practice address
- 6816 S Lafayette Ave
Bartonville, IL 61607-8953 - Phone
- (309) 267-4779
- NPI assigned
- Jan 11, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020014960 | IL | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 020014960 | IL | Yes |
Addresses
Primary practice location
6816 S Lafayette Ave
Bartonville, IL 61607-8953
Mailing address
6816 S Lafayette Ave
Bartonville, IL 61607-8953
Phone (309) 267-4779
Other providers in Bartonville, IL
All providers in Bartonville, IL · Dental Hygienist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.