Dr. Nathan Dale Willis , DDS
Dentist - General Practice • Bristol, TN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Nathan Willis has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Nathan Willis, DDS was a registered Dentist - General Practice practicing in Bristol, TN. Throughout an active medical career spanning 16 years, Dr. Willis provided care at the practice location at 401 EDGEMONT AVE until profile deactivation on 2021-02-17.
Practice Location & Contact Primary Location
401 Edgemont Ave
Bristol, TN 376202314
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Bristol, TN
Practicing in Bristol, TN (2175 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Medicine
Dentist - General Practice
Doctor of Dental Surgery
Dentist - General Practice
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 17, 2021
NPI status registered as active in NPPES database
Registered at 401 EDGEMONT AVE, BRISTOL, TN 376202314 (Tel: 4899684422)
Registered at 401 EDGEMONT AVE, BRISTOL, TN 376202314 (Tel: 4899684422)
Recorded as NATHAN WILLIS, D.D.S.
Dentist (License #DS0000005035 in TN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
401 Edgemont Ave
Bristol, TN 376202314
Phone: 4899684422
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