Willow Tree Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4160 Issued in ID

Legal business name

WILLOW TREE DENTAL PLLC

Practice address

317 W Cherry LN
Meridian, ID 83642-1608

Phone

(208) 888-2055

NPI assigned

Mar 16, 2016

Last updated

Mar 16, 2016By 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. Douglas Dowdle, DMD

Title

Owner

Phone

(208) 888-2055

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1942661038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W CHERRY LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421608",
            "telephone_number": "208-888-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W CHERRY LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421608",
            "telephone_number": "208-888-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "DOWDLE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-888-2055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Lynne Willis, OTR/L
• Laura Kathleen Willoughby, M.S. CCC-SLP
• Scott Donald Willoughby, FNP-C
• Willow and Stone Counseling LLC
• Willow Tree Dental Group LLC
• Willowtree Dental Group PLLC
• Andrew Perry Wilson
• Anne Kelly Wilson, DO
• James Miller Wilson V, MD
• Jennifer Wilson, LMSW

• General Practice Dentistry in Meridian, ID
• Providers in Meridian, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.