Willig Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

IN12010401A Issued in IN

Legal business name

WILLIG DENTISTRY, PC

Doing business as

Orange Door Dental Group of Warsaw

Practice address

1299 Husky TRL
Warsaw, IN 46582-1956

Phone

(574) 269-1200

Fax

(574) 269-3424

NPI assigned

Dec 1, 2011

Last updated

Dec 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christiaan Anthony Willig, DDS

Title

President/Owner

Phone

(574) 269-1200

Specialties & licenses 1

Addresses

Other names 1

• Orange Door Dental Group of Warsaw Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gabrielle M Johnson, D.D.S.

  • General Practice Dentistry
  • Goshen, IN
  • NPI 1871907725
  NPD (past)

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1558639872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HAWTHORNE CT",
            "city": "WINONA LAKE",
            "state": "IN",
            "postal_code": "465901678",
            "telephone_number": "574-269-9632",
            "fax_number": "574-269-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 HUSKY TRL",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465821956",
            "telephone_number": "574-269-1200",
            "fax_number": "574-269-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIG DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "WILLIG",
        "authorized_official_first_name": "CHRISTIAAN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "574-269-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "IN12010401A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange Door Dental Group of Warsaw",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Audie Williams, CST/CSFA
• Leamon D Williams, MD
• Michael Robert Williams, M.D.
• Renea Marie Williams, CNM
• Jenna L Williamson, OTR
• Kayley Winkles
• Sherry Kay Winn, RPH
• William Caraway Winn, BS
• Taylor Winslow
• Michael Long Winston, LMHC

• General Practice Dentistry in Warsaw, IN
• Providers in Warsaw, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.