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EMMETT DENTAL GROUP P.C.
NPI 1255577490
Dentist - General Practice in Emmett, ID

Active since December 17, 2008
119 N WARDWELL AVE, EMMETT, ID 83617(208) 365-6313 Get Directions Write a Review

NPPES record last updated: December 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emmett Dental Group P.c. NPPES

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

EMMETT DENTAL GROUP P.C. (NPI 1255577490) is a healthcare organization registered as a general practice in Emmett, Idaho and active in the NPI registry since December 2008. The organization lists Warren Richard Willis, Owner, as its authorized official.

NPPES Registry Identity

NPI1255577490
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWARREN WILLIS DMD P.C.
Location Address119 N WARDWELL AVEEmmett, ID 83617-3040
Mailing Address119 N Wardwell AveEmmett, ID 83617-3040 · (208) 365-6313
Phone(208) 365-6313
Organization SubpartNo
Authorized OfficialWarren Richard WillisOwner · (208) 365-6313
Enumeration DateDecember 17, 2008
✔ NPI 1255577490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D-3635
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.
119 N WARDWELL AVE, Emmett, ID 83617
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Other Names 1

Doing Business AsEmmett Dental Group P.c.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

DR. BARRIE VON SMITH M.D.
Specialist
119 N WARDWELL AVE
EMMETT, ID 83617
Gem County (208) 365-6311
WALTER KNOX MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
119 N WARDWELL AVE
EMMETT, ID 83617
Gem County (208) 365-6311
THE SMITH CLINIC
Family Medicine
119 N WARDWELL AVE
EMMETT, ID 83617
Gem County (208) 365-6311
WALTER KNOX MEMORIAL HOSPITAL
Clinic/Center (Primary Care)
119 N WARDWELL AVE
EMMETT, ID 83617
Gem County (208) 365-6311
DR. WARREN RICHARD WILLIS D.M.D
Dentist (General Practice)
119 N WARDWELL AVE
EMMETT, ID 83617
Gem County (208) 365-6313
BLACK CANYON FAMILY MEDICINE PC
Family Medicine
119 N WARDWELL AVE
EMMETT, ID 83617
Gem County (208) 365-6311

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 Warren Willis Dmd P.C.'s NPI number?

The NPI number for Warren Willis Dmd P.C. is 1255577490. It was assigned to this organization in the NPPES registry on December 17, 2008. The provider is doing business as Emmett Dental Group P.C..

Where is Warren Willis Dmd P.C. located?

Warren Willis Dmd P.C. is located at 119 N Wardwell Ave, Emmett, ID 83617. The listed phone number is (208) 365-6313.

What is Warren Willis Dmd P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Warren Willis Dmd P.C. was last updated on December 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.