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DR. WILLIE JAMES HUMPHREY D.D.S. NPI 1225190184


NPI Information

NPI: 1225190184
Provider Name: DR. WILLIE JAMES HUMPHREY, D.D.S.
Classification: Dentist - 1223D0001X
Entity Type: Individual

Specialization: Dental Public Health

Address:
BREVARD COUNTY HEALTH DEPARTMENT
2575 N COURTNEY PKWY
MERRITT ISLAND, FL
ZIP 32953
Phone: (321) 454-7148
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DR. Willie James Humphrey, D.D.S. is a dental public health dentist in Merritt Island, FL. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. DR. Willie James Humphrey, D.D.S. NPI is 1225190184. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

BREVARD COUNTY HEALTH DEPARTMENT
2575 N COURTNEY PKWY
MERRITT ISLAND, FL
ZIP 32953
Phone: (321) 454-7148
Fax: (321) 449-5015

The enumeration date for this NPI number is 12/15/2006 and was last updated on 12/12/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223D0001XDentistDental Public HealthDN0009634FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1077730700MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.