Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013293760 Individual Practitioner Male Practitioner

Dr. Jon R Willison , DDS

Dentist - Endodontics • Fort Collins, CO

Professional Overview & Biography Verified Profile Summary

Dr. Jon Willison, DDS is a registered healthcare professional specializing in Dentist - Endodontics in Fort Collins, CO. Practice services are available at 1903 WILMINGTON DR UNIT 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1903 Wilmington Dr Unit 101

Fort Collins, CO 805286100

Telephone 9705685255
Associated Practice Facility / Clinic
🏢 David M. Jones, D.d.s., P.c. Facility NPI 1023530474

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Fort Collins, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Fort Collins, CO (142 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: 2019-12-11
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License CO 00203801

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License CO DEN.00203801

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

State License WY 1517

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License MO 2013042229

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

2996 Ginnala Dr Ste 101

Loveland, CO 805382832

Phone: 9702926703

1950 Bluegrass Cir Ste 120

Cheyenne, WY 820097363

Phone: 3072226665

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Tyler Whiting , DDS

Dentist - Endodontics

NPI 1124400890

Doctor of Dental Surgery

Dr. Brandon Griffin , DDS

Dentist - Endodontics

NPI 1801139324

Doctor of Dental Surgery

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location December 11, 2019

Registered at 1903 WILMINGTON DR UNIT 101, FORT COLLINS, CO 805286100 (Tel: 9705685255)

📍
Updated Business Mailing Address December 11, 2019

Registered at 1903 WILMINGTON DR UNIT 101, FORT COLLINS, CO 805286100 (Tel: 9705685255)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2019

Dentist (License #00203801 in CO)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2018

Student in an Organized Health Care Education/Training Program (License #2013042229 in MO)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Dentist (License #2013042229 in MO)

NPI Profile Active August 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2017

Registered at 1120 15TH ST # GC5110, AUGUSTA, GA 309121269 (Tel: (706) 721-2251)

📍
Updated Business Mailing Address August 24, 2017

Registered at 1120 15TH ST # GC5110, AUGUSTA, GA 309120004 (Tel: (706) 721-2251)

👤
Provider Name / Credentials Updated August 24, 2017

Recorded as JON WILLISON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2017

Dentist (License #8109994-9921 in UT)

NPI Profile Active April 21, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 21, 2014

Registered at 331 SIJEN AVE, WHITEMAN AFB, MO 653051269 (Tel: 6606872201)

📍
Updated Business Mailing Address April 21, 2014

Registered at 331 SIJEN AVE, WHITEMAN AFB, MO 653051269 (Tel: 6606872201)

👤
Provider Name / Credentials Updated April 21, 2014

Recorded as JON WILLISON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2014

Dentist (License #2013042229 in MO)

🟢
Initial NPI Registration & Enumeration October 26, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jon Willison. Be the first to share your experience!

Sign in to leave a review for Dr. Jon Willison

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1013293760
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2011
Last Update: December 11, 2019
Sole Proprietor: No

Mailing Address

1903 Wilmington Dr Unit 101

Fort Collins, CO 805286100

Phone: 9705685255

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.