Sheldon Willis, D.D.S., PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

327903 Issued in MS

Legal business name

SHELDON WILLIS, D.D.S., PLLC

Doing business as

Willis General Dentistry

Practice address

1000 Lakeland Square Ext Ste 700
Flowood, MS 39232-7648

Phone

(601) 933-0009

NPI assigned

Jun 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sheldon Willis, D.D.S.NPI 1013016104

Title

Dentist

Phone

(601) 933-0009

Specialties & licenses 1

Addresses

Other names 1

• Willis General Dentistry Doing business as

Practitioners 1

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

• Sheldon Willis, DDS

  • Dentist
  • Flowood, MS
  • NPI 1013016104

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1316106115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LAKELAND SQUARE EXT STE 700",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327648",
            "telephone_number": "601-933-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LAKELAND SQUARE EXT STE 700",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327648",
            "telephone_number": "601-933-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELDON WILLIS, D.D.S., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "601-933-0009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "327903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willis General Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Shaw Wooten, PTA
• Brittany Shaw, APRN, FNP-BC
• Kimberly Shaw, FNP
• April Michelle Shearer, LPC
• Kimberly Sheffield, NNP
• Peyton Conn Shell
• Breanna Shenk, NP
• Shephearst Meadows, LLC
• Shields Orofacial Pain and Dental Sleep (MS Pain and Sleep)
• Wesley Shields, DMD

• General Practice Dentistry in Flowood, MS
• Providers in Flowood, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.