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Deactivated NPI 1740497296 Deactivated / Inactive NPI Male Practitioner

Dr. Willis Richard Simpson , DDS

Dentist - General Practice • Benton, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Willis Simpson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 16, 2007
NPI Deactivation Date May 01, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Willis Simpson, DDS was a registered Dentist - General Practice practicing in Benton, IL. Throughout an active medical career spanning 18 years, Dr. Simpson provided care at the practice location at 405 E PARK ST until profile deactivation on 2025-05-01.

Practice Location & Contact Primary Location

Practice Address

405 E Park St

Benton, IL 628121971

Telephone 6184394364
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Benton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Benton, IL (5581 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

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

2 Associated Practitioners
Dr. Dawn Jackson-Breeden , DMD

Dentist - General Practice

NPI 1245307024

Doctor of Dental Medicine

Dr. Robin Labuwi , DMD

Dentist - General Practice

NPI 1689876245

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 01, 2025

Record deactivated on May 01, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 405 E PARK ST, BENTON, IL 628121971 (Tel: 6184394364)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 395, BENTON, IL 628120395 (Tel: 6184394364)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIS SIMPSON, DDS

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

Dentist

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Initial NPI Registration & Enumeration May 16, 2007

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: 1740497296
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2007
Last Update: July 08, 2007
Deactivation Date: May 01, 2025

Mailing Address

Po Box 395

Benton, IL 628120395

Phone: 6184394364

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.