Dr. Oliver Lee Willham
Orthodontists
7400 Fleur Dr Ste 100
Des Moines
, Iowa 50321-3105
Dr. Oliver Lee Willham
Orthodontists
7400 Fleur Dr Ste 100
Des Moines
, Iowa 50321-3105
(515) 285-2249
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Oliver Lee Willham
- 7400 Fleur Dr Ste 100
- Des Moines, IA
- Zip : 50321-3105
- Fax : (515) 285-2249
- Phone : (515) 285-6134
Second Address
- Dr. Oliver Lee Willham
- 7400 Fleur Dr Ste 100
- Des Moines, IA
- Zip : 50321-3105
- Fax : (515) 285-2249
- Phone : (515) 285-6134
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 7331 | IA |
National Provider Identifier
| NPI | 1063835569 |
|---|---|
| Provider Name | Dr. Oliver Lee Willham |
| First Address | Des Moines, IA 50321-3105 |
| Second Address | Des Moines, IA 50321-3105 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/02/2014 |
| Last Update Date | 04/02/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1578697058 | (05) | IA |
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.