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Active NPI 1851286850 Individual Practitioner Male Practitioner

Dr. Emanuel Vance Willis , DMD

Dentist • Camp Pendleton, CA

Professional Overview & Biography Verified Profile Summary

Dr. Emanuel Willis, DMD is a registered healthcare professional specializing in Dentist in Camp Pendleton, CA. Practice services are available at H200 MERCY CIRCLE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

H200 Mercy Circle

Camp Pendleton, CA 92055

Telephone 7607251288

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Camp Pendleton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
39 Specialists

Practicing in Camp Pendleton, CA (15331 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: 2025-07-24
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DENT.DE.70010445

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Paimon Ameli

Psychiatry & Neurology - Psychiatry

NPI 1003379249
Alexander Nelson , PA-C

Physician Assistant

NPI 1023724465

Physician Assistant (Certified)

Dr. Ella Schultz , DO

Student in an Organized Health Care Education/Training Program

NPI 1023851318

Doctor of Osteopathic Medicine (D.O.)

Shunda Mcginest , RN

Registered Nurse - Case Management

NPI 1033447123

Registered Nurse

Dr. Zechariah Brooke , MD

Military Health Care Provider

NPI 1053066407

Doctor of Medicine (M.D.)

Cortes Jongjaroenlarp

Military Health Care Provider

NPI 1053106971

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2025

Dentist (License #DENT.DE.70010445 in WA)

NPI Profile Active June 10, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2025

Registered at H200 MERCY CIRCLE, CAMP PENDLETON, CA 92055 (Tel: 7607251288)

📍
Updated Business Mailing Address June 10, 2025

Registered at H200 MERCY CIRCLE, CAMP PENDLETON, CA 92055

👤
Provider Name / Credentials Updated June 10, 2025

Recorded as EMANUEL WILLIS, DMD

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

Student in an Organized Health Care Education/Training Program

🟢
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: 1851286850
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2025
Last Update: July 24, 2025
Sole Proprietor: No

Mailing Address

H200 Mercy Circle

Camp Pendleton, CA 92055

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.