Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578458675 Individual Practitioner Female Practitioner

Dr. Kynnedy B Willson , DDS

Dentist - General Practice • Centerton, AR

Professional Overview & Biography Verified Profile Summary

Dr. Kynnedy Willson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Centerton, AR. Practice services are available at 310 E CENTERTON BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

310 E Centerton Blvd

Centerton, AR 727199217

Telephone 4795793742
Associated Practice Facility / Clinic
🏢 Epic Smiles Pllc Facility NPI 1669086724

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Centerton, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Centerton, AR (909 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AR 4849

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 10, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2025

Registered at 310 E CENTERTON BLVD, CENTERTON, AR 727199217 (Tel: 4795793742)

📍
Updated Business Mailing Address June 10, 2025

Registered at 2385 BUCKSIDE ST, SPRINGDALE, AR 727623292 (Tel: 3374990155)

👤
Provider Name / Credentials Updated June 10, 2025

Recorded as KYNNEDY WILLSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2025

Dentist (License #4849 in AR)

🟢
Initial NPI Registration & Enumeration June 10, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578458675
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2025
Last Update: June 10, 2025
Sole Proprietor: Yes

Mailing Address

2385 Buckside St

Springdale, AR 727623292

Phone: 3374990155

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.