Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942597976 Individual Practitioner Male Practitioner

Dr. Shaun Willis , DMD

Dentist - General Practice • El Campo, TX

Professional Overview & Biography Verified Profile Summary

Dr. Shaun Willis, DMD is a registered healthcare professional specializing in Dentist - General Practice in El Campo, TX. Practice services are available at 1108 N MECHANIC ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1108 N Mechanic St

El Campo, TX 77437

Telephone 9795415400
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in El Campo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
8 Specialists

Practicing in El Campo, TX (10570 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 TX 27076

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.

Durable Medical Equipment & Medical Supplies

NUCC Taxonomy Code: 332B00000X

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Durable Medical Equipment & Medical Supplies

NUCC Taxonomy Code: 332B00000X

State License TX 27076

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Texas Dental License
27076 (TX)

Secondary Practice Locations

1426 Sidney Baker St

Kerrville, TX 780282725

Phone: 8308905225

106 Shult Dr Ste Ab

Columbus, TX 789343016

Phone: 9797338844

1108 N Mechanic St

El Campo, TX 77437

Phone: 9795415400

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1023113834

Doctor of Dental Surgery

Dr. Liang Chen , DDS

Dentist - General Practice

NPI 1386743953

Doctor of Dental Surgery

NPI 1699943159

Doctor of Dental Surgery

Dr. Lisa Mcglone , DDS

Dentist - General Practice

NPI 1962490151

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 15, 2018

Registered at 1108 N MECHANIC ST, EL CAMPO, TX 77437 (Tel: 9795415400)

📍
Updated Business Mailing Address October 15, 2018

Registered at 1108 N MECHANIC ST, EL CAMPO, TX 774373030 (Tel: 9795415400)

NPI Profile Active June 28, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2011

Registered at 1111 SOUTH STEMMONS FREEWAY, LEWISVILLE, TX 75067 (Tel: 4692933511)

📍
Updated Business Mailing Address June 28, 2011

Registered at 1111 SOUTH STEMMONS FREEWAY, LEWISVILLE, TX 75067

👤
Provider Name / Credentials Updated June 28, 2011

Recorded as SHAUN WILLIS, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2011

Dentist (License #27076 in TX)

🟢
Initial NPI Registration & Enumeration June 28, 2011

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: 1942597976
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2011
Last Update: October 15, 2018
Sole Proprietor: Yes

Mailing Address

1108 N Mechanic St

El Campo, TX 774373030

Phone: 9795415400

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.