Individual provider · Type 1 NPI
Robert Merle Willard, DDS
Pediatric Dentistry · Springfield, IL
NPI number
1417047838
Active
Practice location
2536 Farragut Dr
Springfield, IL 62704-1433
Fax (217) 787-1439
Mailing address
1408 Woods Farm Ln
Springfield, IL 62704-6431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 0210000923 (IL) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4 other providers at this address
Other pediatric dentistry providers in Springfield
About NPI 1417047838
Robert Merle Willard, DDS's National Provider Identifier is 1417047838, issued on Oct 14, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Springfield, IL. The record was last updated on Jul 8, 2007.