MEDICARE: TERRY A WILLIS D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2219	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043296791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRY A WILLIS D.M.D.

Provider Business Mailing Address
First Line	:	127 HUNTS BRIDGE RD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29617-1623
Country	:	US
Telephone Number	:	864-246-6471
Fax Number	:	864-246-9917

Provider Business Practice Location Address
First Line	:	127 HUNTS BRIDGE RD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29617-1623
Country	:	US
Telephone Number	:	864-246-6471
Fax Number	:	864-246-9917

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1962923888 — DR. PHILLIP DAVID GOULD DMD
Practice Location Address:

127 HUNTS BRIDGE RD
GREENVILLE, SC
29617-1623

Practice Phone: 864-246-6471
Practice Fax: 864-246-9917

1720617137 — PHILLIP D. GOULD, DMD, LLC
Practice Location Address:

127 HUNTS BRIDGE RD
GREENVILLE, SC
29617-1623

Practice Phone: 864-246-6471
Practice Fax:

1336880905 — SHANNON MCCANN RN
Practice Location Address:

93 SMITH AVE
GREENVILLE, RI
02828-1623

Practice Phone: 401-834-6468
Practice Fax:

1568396927 — GOOD-NATURED HOMECARE
Practice Location Address:

1601 CEDAR LANE RD STE 18
GREENVILLE, SC
29617-2347

Practice Phone: 864-887-4391
Practice Fax:

1841125887 — MR. PATRICK C. FAHEY III PMHNP-BC
Practice Location Address:

328 GLENLEA LN
GREENVILLE, SC
29617-1229

Practice Phone: 864-884-5274
Practice Fax:

1508815986 — KATHERINE M HAYNIE DC
Practice Location Address:

413 FARRS BRIDGE RD
GREENVILLE, SC
29617-1858

Practice Phone: 864-246-0803
Practice Fax: 864-246-0555

Directions to “ TERRY A WILLIS D.M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.