Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ronald Gordan Willis Jr., DMD

Individual provider Dentist · NPI 1013172808

Dr. Ronald Gordan Willis Jr., DMD is a Dentist in Tallahassee, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2470 Care Dr
Tallahassee, FL 32308-4579
Phone: (850) 877-5151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN12812 (FL)

Record details

NPI number1013172808
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 22, 2008
Last updated in NPPESJuly 22, 2008

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