Albert E. Willis, D.M.D., M.D., P.C.
Organization Active NPI Oral and Maxillofacial Surgery Clinic/Center · Madison, AL
NPI 1720129307 · NPPES record last updated Aug 20, 2014
Key facts
- NPI
- 1720129307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center 261QS0112X
- License
- 16039 (AL)
- Legal business name
- ALBERT E. WILLIS, D.M.D., M.D., P.C.
- Practice address
- 540 Hughes Rd
Suite 6
Madison, AL 35758-8999 - Phone
- (256) 464-7873
- Fax
- (256) 464-7864
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Albert E. Willis II, D.M.D., M.D.
- Title
- President
- Phone
- (256) 464-7873
Practitioners 1
-
Albert Willis II, D.M.D., M.D.
National Provider Directory
Locations
540 Hughes Rd
Ste 6
Madison, AL 35758
Phone (256) 464-7873
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center | 261QS0112X | 16039 | AL | Yes |
Addresses
Primary practice location
540 Hughes Rd
Suite 6
Madison, AL 35758-8999
Mailing address
540 Hughes Rd
Suite 6
Madison, AL 35758-8999
Phone (256) 464-7873
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All providers in Madison, AL · Oral and Maxillofacial Surgery Clinic/Center in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.