DR. THEODORE ALBERT MCWILLIE D.D.S.
NPI 1083800429
Dentist - General Practice in Las Vegas, NV

Active since September 19, 2007
4660 S EASTERN AVE, SUITE 103, LAS VEGAS, NV 89119(702) 456-0005 Get Directions Write a Review

NPPES record last updated: September 19, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Theodore Albert Mcwillie D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THEODORE ALBERT MCWILLIE D.D.S. (NPI 1083800429) is an individual general practice provider in Las Vegas, Nevada, licensed in Nevada (2103) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1083800429
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THEODORE ALBERT MCWILLIECredential: D.D.S.
Location Address4660 S EASTERN AVE, SUITE 103Las Vegas, NV 89119-6137
Mailing Address4660 S Eastern Ave, Suite 103Las Vegas, NV 89119-6137 · (702) 456-0005
Sole ProprietorYes
Enumeration DateSeptember 19, 2007
NPI 1083800429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NV · 2103
Definition
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.
4660 S EASTERN AVE, Las Vegas, NV 89119

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Practitioner
4660 S EASTERN AVE, STE 200
LAS VEGAS, NV 89119
Community Health Worker
4660 S EASTERN AVE, STE 200
LAS VEGAS, NV 89119
Community Health Worker
4660 S EASTERN AVE, STE 200
LAS VEGAS, NV 89119
Psychologist (Rehabilitation)
4660 S EASTERN AVE, 200
LAS VEGAS, NV 89119
Rehabilitation Practitioner
4660 S EASTERN AVE, SUITE 200
LAS VEGAS, NV 89119
Community Health Worker
4660 S EASTERN AVE, STE 200
LAS VEGAS, NV 89119
Rehabilitation Practitioner
4660 S EASTERN AVE, SUITE 200
LAS VEGAS, NV 89119
Rehabilitation Practitioner
4660 S EASTERN AVE, SUITE 200
LAS VEGAS, NV 89119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Mcwillie's NPI number?

The NPI number for Theodore Mcwillie is 1083800429. It was assigned to this individual provider in the NPPES registry on September 19, 2007.

Where is Theodore Mcwillie located?

Theodore Mcwillie practices at 4660 S Eastern Ave Suite 103, Las Vegas, NV 89119. The listed phone number is (702) 456-0005.

What is Theodore Mcwillie's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Theodore Mcwillie accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Theodore Mcwillie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore Mcwillie was last updated on September 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.