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DALLIN DOUGLAS WILLES
NPI 1104307198
Nurse Practitioner - Neonatal in Provo, UT

Active since August 27, 2018

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2022, Aug 27, 2018 (2 updates tracked since 2018).

About Dallin Douglas Willes NPPES

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

DALLIN DOUGLAS WILLES (NPI 1104307198) is an individual neonatal provider in Provo, Utah, licensed in Utah (8281533-4405) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1104307198
Entity TypeIndividualMale
Primary Taxonomy363LN0000X
Provider Legal NameDALLIN DOUGLAS WILLES
Location Address1034 N 500 WProvo, UT 84604-3380
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 357-7707
Sole ProprietorNo
Enumeration DateAugust 27, 2018
Last NPPES UpdateApril 12, 20222 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
✔ NPI 1104307198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in UT · 8281533-4405
1034 N 500 W, Provo, UT 84604
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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.

IHC HEALTH SERVICES INC
Radiology (Diagnostic Radiology)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-4423
JAMES TYNAN DALY DO
Hospitalist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7291
ADAM R KROMMENHOEK MD
Emergency Medicine (Emergency Medical Services)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 373-7850
DR. CHRISTOPHER NATHAN JOHNSON MD
Emergency Medicine
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7850
MARGARET MICHELE MAXFIELD CCC-SLP
Speech-Language Pathologist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7448
DARBY MELESSE HERRMANN OTR/L
Occupational Therapist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7850
MRS. HOLLY YORGASON DIETITIAN
Dietitian, Registered
1034 N 500 W
PROVO, UT 84604
Utah County No phone listed
BRENT L GRIFFIN MD
Psychiatry & Neurology (Psychiatry)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-4542

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 Dallin Willes's NPI number?

The NPI number for Dallin Willes is 1104307198. It was assigned to this individual provider in the NPPES registry on August 27, 2018.

Where is Dallin Willes located?

Dallin Willes practices at 1034 N 500 W, Provo, UT 84604. The listed phone number is (801) 357-7707.

What is Dallin Willes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

What insurance does Dallin Willes accept?

Health plans from Select Health list Dallin Willes 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 Dallin Willes was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.