Cheryl Lee Willett, DDS, MS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

49247 Issued in CA

Practice address

1111 Sonoma Ave Ste 102
Santa Rosa, CA 95405-4813

Phone

(707) 544-4611

NPI assigned

Apr 6, 2007

Last updated

Feb 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ramos Dental, PC

  dba NorCal Pediatric Dentistry

  • Pediatric Dentistry
  • Santa Rosa, CA
  • NPI 1063118552
  NPD Authorized official
• Hine DDS Corp

  dba NorCal Pediatric Dentistry

  • Pediatric Dentistry
  • Santa Rosa, CA
  • NPI 1346091055
  NPD
• St. Joseph Health Northern California, LLC

  dba Providence Redwood Memorial Hospital

  • Critical Access Hospital
  • Fortuna, CA
  • NPI 1043292303
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1245352517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SONOMA AVE STE 102",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054813",
            "telephone_number": "707-544-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SONOMA AVE STE 102",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054813",
            "telephone_number": "707-544-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETT",
        "first_name": "CHERYL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "49247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip L Wilkinson, M.B.,B.S.
• Sabrina Wilkinson
• David Frederick Willat, DC
• Randall Willens, L.AC.
• Willett and Ramos Dental, PC (Santa Rosa Pediatric Dentistry)
• William Cox Dental Corporation (Gentle Dental Santa Rosa)
• William Diles, Inc. (Kenwood Hearing Center)
• William F Kivett MD Inc
• William J. Formaker, MFT (Full Heart Treatment Center)
• William Peter Butrica Jr. DDS, a Professional Corporation

• Pediatric Dentistry in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.