Individual provider · Type 1 NPI
Jack Ralph Willert, DDS
General Practice Dentistry · Oshkosh, WI
NPI number
1811033343
Active
Practice location
1835 W Pointe Dr
Oshkosh, WI 54902-4174
Fax (920) 231-5040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 5001833 (WI) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1811033343
Jack Ralph Willert, DDS's National Provider Identifier is 1811033343, issued on Jan 30, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Oshkosh, WI. The record was last updated on Jul 8, 2007.