DR. RICHARD DENNIS WILLIS DDS
NPI 1265421374
Dentist - Oral and Maxillofacial Surgery in Monroe, LA
About Dr. Richard Dennis Willis Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RICHARD DENNIS WILLIS DDS (NPI 1265421374) is an individual oral and maxillofacial surgery provider in Monroe, Louisiana, licensed in Louisiana (2890) and active in the NPI registry since October 2005. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Richard Dennis Willis Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2016 through October 1, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MONROE, LA 71201
MONROE, LA 71201
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 Richard Willis's NPI number?
The NPI number for Richard Willis is 1265421374. It was assigned to this individual provider in the NPPES registry on October 20, 2005.
Where is Richard Willis located?
Richard Willis practices at 2003 Forsythe Ave, Monroe, LA 71201. The listed phone number is (318) 388-2621.
What is Richard Willis's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Richard Willis enrolled in Medicare?
No. Richard Willis has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Richard Willis was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.
# Dr. Richard Dennis Willis, DDS · NPI 1265421374
Oral and Maxillofacial Surgery provider in Monroe, Louisiana. Individual provider, active in the CMS NPPES registry since October 20, 2005.
## Identity
- **NPI:** 1265421374 (Entity type: Individual)
- **Enumerated:** October 20, 2005
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 2890 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2003 FORSYTHE AVE, Monroe, LA 71201-3608
- **Phone:** (318) 388-2621 · **Fax:** (318) 388-2835
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** July 13, 2026
- **Other identifiers:** Medicaid 1828904 (LA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1265421374) · Data from the CMS NPPES public registry.