Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568535011 Individual Practitioner Male Practitioner

Dr. Warren Richard Willis , DMD

Dentist - General Practice • Emmett, ID

Professional Overview & Biography Verified Profile Summary

Dr. Warren Willis, DMD is a registered healthcare professional specializing in Dentist - General Practice in Emmett, ID. Practice services are available at 119 N WARDWELL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

119 N Wardwell Ave

Emmett, ID 836173040

Telephone 2083656313
Fax 2083651303
Associated Practice Facility / Clinic
🏢 The Smith Clinic Facility NPI 1154357614

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Emmett, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Emmett, ID (781 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D3635

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

1 Associated Practitioners
NPI 1013949940

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 119 N WARDWELL AVE, EMMETT, ID 836173040 (Tel: 2083656313)

📍
Updated Business Mailing Address July 08, 2007

Registered at 119 N WARDWELL AVE, EMMETT, ID 836173040 (Tel: 2083656313)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as WARREN WILLIS, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D3635 in ID)

🟢
Initial NPI Registration & Enumeration November 15, 2006

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: 1568535011
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

119 N Wardwell Ave

Emmett, ID 836173040

Phone: 2083656313

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.