MEDICARE: DR. BARRY C WILLIS DDS

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	2426	AZ

General Provider Information

NPI Number	:	1851351290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY C WILLIS DDS

Provider Business Mailing Address
First Line	:	394 W BUTTERFIELD RD
Second Line	:
City	:	CHINO VALLEY
State	:	AZ
Zip	:	86323-5610
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	394 W BUTTERFIELD RD
Second Line	:
City	:	CHINO VALLEY
State	:	AZ
Zip	:	86323-5610
Country	:	US
Telephone Number	:	928-636-2359
Fax Number	:

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

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1811197999 — STEVEN J. LEIB, M.D., INC
Practice Location Address:

5610 SCOTTS VALLEY DR , SUITE A
SCOTTS VALLEY, CA
95066-3476

Practice Phone: 831-438-9141
Practice Fax: 831-438-2030

1447559372 — DR. LEVENT KENAR M.D.PH.D.
Practice Location Address:

5610 LAUREL AVE APT 111
GOLDEN VALLEY, MN
55416-1060

Practice Phone: 612-801-3274
Practice Fax:

1033668181 — JOSEPHINE NWALIPENJA
Practice Location Address:

5250 VALLEY FORGE DR APT 407
ALEXANDRIA, VA
22304-5610

Practice Phone: 240-478-0363
Practice Fax:

1205377009 — DR. ALICIA MERCEDES ALVARENGA D.C.
Practice Location Address:

20579 SANTA MARIA AVE
CASTRO VALLEY, CA
94546-5610

Practice Phone: 510-600-3347
Practice Fax:

1790360501 — MRS. LYDIA E WILLIAMS
Practice Location Address:

5250 VALLEY FORGE DR APT 407
ALEXANDRIA, VA
22304-5610

Practice Phone: 703-772-3825
Practice Fax:

Directions to “ DR. BARRY C WILLIS DDS” 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.