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Active NPI 1942043427 Individual Practitioner Male Practitioner

Dr. Matthew W Willis , DMD, MA

Dentist - General Practice • Aiea, HI

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Willis, DMD, MA is a registered healthcare professional specializing in Dentist - General Practice in Aiea, HI. Practice services are available at 98-1005 MOANALUA RD SPC 2000 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

98-1005 Moanalua Rd Spc 2000

Aiea, HI 967014700

Telephone 8084899530
Associated Practice Facility / Clinic
🏢 Pearlridge Dental Care, Llc Facility NPI 1255768255

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Aiea, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
38 Specialists

Practicing in Aiea, HI (740 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: 2024-06-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License HI DT-3173

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.

Practice Associates & Co-Workers

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

9 Associated Practitioners
NPI 1073098695

Doctor of Dental Surgery

Dr. Olga Hamilton , DDS

Dentist - General Practice

NPI 1467957506

Doctor of Dental Surgery

NPI 1538682711

Doctor of Dental Surgery

Rachel Estevez

Dental Hygienist

NPI 1609337971
Dr. Zachary Berman , DMD

Dentist - General Practice

NPI 1750245346

Doctor of Dental Medicine

NPI 1770031205

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 13, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2024

Registered at 98-1005 MOANALUA RD SPC 2000, AIEA, HI 967014700 (Tel: 8084899530)

📍
Updated Business Mailing Address June 13, 2024

Registered at 19805 N 63RD DR, GLENDALE, AZ 853086901 (Tel: 4807215943)

👤
Provider Name / Credentials Updated June 13, 2024

Recorded as MATTHEW WILLIS, DMD, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2024

Dentist (License #DT-3173 in HI)

🟢
Initial NPI Registration & Enumeration June 13, 2024

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: 1942043427
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2024
Last Update: June 13, 2024
Sole Proprietor: Yes

Mailing Address

19805 N 63rd Dr

Glendale, AZ 853086901

Phone: 4807215943

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.