Lawrence M.Willis DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2123 Issued in CO

Legal business name

LAWRENCE M.WILLIS DDS

Practice address

3012 S Broadway
Englewood, CO 80113-1529

Phone

(303) 789-4165

NPI assigned

May 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence M Willis, DDS

Title

Owner

Phone

(303) 789-1655

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1431820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431820800000",
    "number": "1831577378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 S BROADWAY",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801131529",
            "telephone_number": "303-789-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 S BROADWAY",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801131529",
            "telephone_number": "303-789-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE M.WILLIS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-17",
        "last_updated": "2015-05-17",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-789-1655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "2123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Nicole Launer
• Andrew Bryce Lauria, AGNP
• Elle Grace Lavelle
• Megan K Lavoy, PSY.D.
• Drew Lawler, CNM
• Benjamin Lazarus
• Bao Phi Andrew Le, DO
• Khanh Le, PHARMD
• Leaps & Bounds Pediatric PT LLC
• Erin Leary, MA, CCC/SLP

• Dental Clinic/Center in Englewood, CO
• Providers in Englewood, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2015; 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.