Dr. Hamil J Willoughby
Oral and Maxillofacial Surgeon
184 Sullivan Hall Stony Brook University School Of Dental Medicine
Stony Brook
, New York 11794-8705
Dr. Hamil J Willoughby
Oral and Maxillofacial Surgeon
184 Sullivan Hall Stony Brook University School Of Dental Medicine
Stony Brook
, New York 11794-8705
(631) 725-8798
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Hamil J Willoughby
- 59 Meredith Ave
- Sag Harbor, NY
- Zip : 11963-3224
- Phone : (631) 725-8798
Second Address
- Dr. Hamil J Willoughby
- 184 Sullivan Hall Stony Brook University School Of Dental Medicine
- Stony Brook, NY
- Zip : 11794-8705
- Fax : (631) 632-3747
- Phone : (631) 632-8975
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 027222 | NY |
National Provider Identifier
| NPI | 1104074525 |
|---|---|
| Provider Name | Dr. Hamil J Willoughby |
| First Address | Sag Harbor, NY 11963-3224 |
| Second Address | Stony Brook, NY 11794-8705 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2008 |
| Last Update Date | 11/09/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.