DR. EDDIE Q WILLIS DMD
NPI 1588439426
Dentist - General Practice in Lagrange, GA

Q: What is Eddie Willis's NPI number?

The NPI number for Eddie Willis is 1588439426. It was assigned to this individual provider in the NPPES registry on November 21, 2023.

Q: What is Eddie Willis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Eddie Willis was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 21, 2023

313 MOOTY BRIDGE RD, LAGRANGE, GA 30240(706) 837-0123(706) 668-5100 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Dr. Eddie Q Willis Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDDIE Q WILLIS DMD (NPI 1588439426) is an individual general practice provider in Lagrange, Georgia, licensed in Georgia (DN123207) and active in the NPI registry since November 2023. He maintains a secondary practice location in Fitzgerald.

NPPES Registry Identity

NPI1588439426

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. EDDIE Q WILLISCredential: DMD

Location Address313 MOOTY BRIDGE RDLagrange, GA 30240-1809

Mailing Address313 Mooty Bridge RdLagrange, GA 30240-1809 · (706) 837-0123 · Fax (706) 668-5100

Phone(706) 837-0123

Fax(706) 668-5100

Sole ProprietorNo

Enumeration DateNovember 21, 2023

NPPES CertifiedNovember 21, 2023

✔ NPI 1588439426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · DN123207

Definition

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.

313 MOOTY BRIDGE RD, Lagrange, GA 30240

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Secondary Practice Location 1

Location 1320 Benjamin H Hill Dr SWFitzgerald, GA 31750-8694 · Phone (294) 234-9742 · Fax (229) 423-7974

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TARA W MILLIGAN DDS

Dentist (General Practice)

313 MOOTY BRIDGE RD
LAGRANGE, GA 30240

Troup County (706) 837-0123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eddie Willis's NPI number?

The NPI number for Eddie Willis is 1588439426. It was assigned to this individual provider in the NPPES registry on November 21, 2023.

Where is Eddie Willis located?

Eddie Willis practices at 313 Mooty Bridge Rd, Lagrange, GA 30240. The listed phone number is (706) 837-0123.

What is Eddie Willis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Eddie Willis was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.