Hank Willis, DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HANK WILLIS, DDS, PLLC

Practice address

6811 Main St
Ste a
Bonners Ferry, ID 83805-8649

Phone

(208) 267-6454

Fax

(208) 267-6457

NPI assigned

Jun 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Hank Willi IV, DDS

Title

Dentist

Phone

(208) 267-6454

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Henry SK Willis IV, D.D.S.

  • General Practice Dentistry
  • Bonners Ferry, ID
  • NPI 1578554465
  NPD (past)

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1215196209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 MAIN ST",
            "address_2": "STE A",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 MAIN ST",
            "address_2": "STE A",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058649",
            "telephone_number": "208-267-6454",
            "fax_number": "208-267-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANK WILLIS, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "WILLI",
        "authorized_official_first_name": "HANK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-267-6454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan James Gorman, DNP, NP-C
• Kari L Gors, LMSW
• H.H.H. Holdings PLLC
• Kathleen Grace Hall
• Haley Halleman, PA-C
• Derek A Hatch, MT
• Hawks Landing of Idaho LLC
• Melanie Helms, RN
• Jill Hight
• Holliday Hill

• Dental Clinic/Center in Bonners Ferry, ID
• Providers in Bonners Ferry, ID by specialty
• Dental Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.