Michael Alan Willen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30017180 Issued in OH

Practice address

8210 Macedonia Commons Blvd
Suite #60
Macedonia, OH 44056-1860

Phone

(300) 468-1420

Fax

(330) 467-6878

NPI assigned

Jan 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467423251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 MACEDONIA COMMONS BLVD",
            "address_2": "SUITE #60",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561860",
            "telephone_number": "300-468-1420",
            "fax_number": "330-467-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 MACEDONIA COMMONS BLVD",
            "address_2": "SUITE #60",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561860",
            "telephone_number": "300-468-1420",
            "fax_number": "330-467-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEN",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30017180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Junpan Zhang, DMD
• Kathryn Ziegler, BCBA

• General Practice Dentistry in Macedonia, OH
• Providers in Macedonia, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.