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Active NPI 1588145429 Individual Practitioner Male Practitioner

Dr. Austin Tyler Willis , DDS

Dentist - General Practice • Beckley, WV

Professional Overview & Biography Verified Profile Summary

Dr. Austin Willis, DDS is a registered healthcare professional specializing in Dentist - General Practice in Beckley, WV. Practice services are available at 402 CARRIAGE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

402 Carriage Dr

Beckley, WV 258012806

Telephone 3042550439
Associated Practice Facility / Clinic
🏢 Steve Childress Ii, Dds Facility NPI 1922578764

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Beckley, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 5.5 Yrs
Regional Practice Density
21 Specialists

Practicing in Beckley, WV (580 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 WV 4336

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
Dr. Steve Childress , DDS

Dentist - General Practice

NPI 1548209869

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 28, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2018

Registered at 402 CARRIAGE DR, BECKLEY, WV 258012806 (Tel: 3042550439)

📍
Updated Business Mailing Address August 28, 2018

Registered at 402 CARRIAGE DR, BECKLEY, WV 258012806 (Tel: 3042550439)

👤
Provider Name / Credentials Updated August 28, 2018

Recorded as AUSTIN WILLIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2018

Dentist (License #4336 in WV)

🟢
Initial NPI Registration & Enumeration August 28, 2018

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: 1588145429
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2018
Last Update: August 28, 2018
Sole Proprietor: No

Mailing Address

402 Carriage Dr

Beckley, WV 258012806

Phone: 3042550439

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.