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Active NPI 1588439426 Individual Practitioner Male Practitioner

Dr. Eddie Q Willis , DMD

Dentist - General Practice • Lagrange, GA

Professional Overview & Biography Verified Profile Summary

Dr. Eddie Willis, DMD is a registered healthcare professional specializing in Dentist - General Practice in Lagrange, GA. Practice services are available at 313 MOOTY BRIDGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

313 Mooty Bridge Rd

Lagrange, GA 302401809

Telephone 7068370123
Fax 7066685100
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lagrange, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
26 Specialists

Practicing in Lagrange, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-11-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN123207

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.

Secondary Practice Locations

320 Benjamin H Hill Dr Sw

Fitzgerald, GA 317508694

Phone: 2942349742

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Robert Gold , DMD

Dentist - General Practice

NPI 1093845208

Doctor of Dental Medicine

Dr. Tara Milligan , DDS

Dentist - General Practice

NPI 1265603963

Doctor of Dental Surgery

Dr. Gary Bishop , DMD

Dentist - General Practice

NPI 1275195497

Doctor of Dental Medicine

Dr. Kathleen Fadler , DMD

Dentist - General Practice

NPI 1619539814

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 21, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location November 21, 2023

Registered at 313 MOOTY BRIDGE RD, LAGRANGE, GA 302401809 (Tel: 7068370123)

📍
Updated Business Mailing Address November 21, 2023

Registered at 313 MOOTY BRIDGE RD, LAGRANGE, GA 302401809 (Tel: 7068370123)

👤
Provider Name / Credentials Updated November 21, 2023

Recorded as EDDIE WILLIS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2023

Dentist (License #DN123207 in GA)

🟢
Initial NPI Registration & Enumeration November 21, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588439426
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2023
Last Update: November 21, 2023
Sole Proprietor: No

Mailing Address

313 Mooty Bridge Rd

Lagrange, GA 302401809

Phone: 7068370123

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.