Matthew Willis, D.D.S

NPI 1861749665 · on the registry since 2012

Practice

Address: 110 W Church St
Creedmoor, NC 27522
Phone: (919) 528-4004
Fax: (919) 528-2211
Organisation at this address: Koren & Associates, Dds, Pa
Benjamin Koren, D.D.S. Iii. P.A,
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: NC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina