Willard Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WILLARD FAMILY DENTAL

Practice address

304 E Jackson St
Willard, MO 65781-9333

Phone

(417) 742-2555

NPI assigned

Jun 14, 2022

Last updated

Jun 27, 2022By 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. Ryan Keith Harris, DMD

Title

Owner

Phone

(702) 580-4285

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Ernest Eugene Curry, DDS

  • General Practice Dentistry
  • Willard, MO
  • NPI 1164510558
  NPD (past)
• James C Jordan, DDS

  • General Practice Dentistry
  • Willard, MO
  • NPI 1033207436
  NPD (past)
• Stephen Goodwin Powell, DDS

  • General Practice Dentistry
  • Willard, MO
  • NPI 1942398326
  NPD (past)

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1679203343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 REGENCY LN",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147490",
            "telephone_number": "702-580-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E JACKSON ST",
            "city": "WILLARD",
            "state": "MO",
            "postal_code": "657819333",
            "telephone_number": "417-742-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLARD FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-580-4285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tetrick Counseling & Associates, LLC.
• Brittany Ann Thomason, MS, CCC-SLP
• Brooke Renea Tuck, COTA/L
• Willard Carecentre, Inc
• Willard Chiropractic LLC
• Willard Physical Therapy Center LLC
• Willard R-II Schools
• Lacey Marie Wilson, MS, LPC

• General Practice Dentistry in Willard, MO
• Providers in Willard, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.