Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013016104 Individual Practitioner Male Practitioner

Dr. Sheldon Willis , DDS

Dentist • Flowood, MS

Professional Overview & Biography Verified Profile Summary

Dr. Sheldon Willis, DDS is a registered healthcare professional specializing in Dentist in Flowood, MS. Practice services are available at 1000 LAKELAND SQUARE EXT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1000 Lakeland Square Ext
Suite 700

Flowood, MS 392327620

Telephone 6019330009
Associated Practice Facility / Clinic
🏢 Lakeland Family Clinic Pllc Facility NPI 1669648614

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Flowood, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Flowood, MS (563 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AZ D6926

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MS 3279-03

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
04350504 (MS)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Mark Rester , MD

Psychiatry & Neurology - Psychiatry

NPI 1538140512

Doctor of Medicine (M.D.)

NPI 1659402378

Doctor of Chiropractic

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 28, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2008

Registered at 1000 LAKELAND SQUARE EXT, SUITE 700, FLOWOOD, MS 392327620 (Tel: 6019330009)

📍
Updated Business Mailing Address June 28, 2008

Registered at 1000 LAKELAND SQUARE EXT, SUITE 700, FLOWOOD, MS 392327620 (Tel: 6019330009)

👤
Provider Name / Credentials Updated June 28, 2008

Recorded as SHELDON WILLIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2008

Dentist (License #D6926 in AZ)

🟢
Initial NPI Registration & Enumeration September 22, 2006

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: 1013016104
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2006
Last Update: June 28, 2008
Sole Proprietor: No

Mailing Address

1000 Lakeland Square Ext, Suite 700

Flowood, MS 392327620

Phone: 6019330009

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.