Willis Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

WILLIS ORTHODONTICS

Practice address

2245 N 400 E St 103
Logan, UT 84341

Phone

(435) 753-6776

NPI assigned

Jan 26, 2022

Last updated

Feb 25, 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. Craig Willis, DDSNPI 1639235559

Title

Orthodontist

Phone

(435) 753-6776

Specialties & licenses 1

Addresses

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.

• Craig Willis, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Logan, UT
  • NPI 1639235559
  NPD Authorized official

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1912659368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 N 400 E ST 103",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "84341",
            "telephone_number": "435-753-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 N 400 E ST 103",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "84341",
            "telephone_number": "435-753-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "435-753-6776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael H Williams, MD
• Todd Crae Williams, OTR/L
• Whitney Williams, PHARMD
• Deona Amira Willie, REGISTERED DIETITIAN
• Kelly Willie
• Craig Willis, DDS
• James Willmore, RPH.
• Myrle Willmore, RPH
• Willow Haven Counseling LLC (Willow Haven Counseling - Carolina Brog, LCSW)
• Marybeth Wilson, F.N.P

• Orthodontics and Dentofacial Orthopedics Dentistry in Logan, UT
• Providers in Logan, UT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.