DR. KENNETH DANIEL WILLIS DDS
NPI 1457841835
Dentist in Gallipolis, OH

Active since May 11, 2018PECOS Enrolled
878 JACKSON PIKE, GALLIPOLIS, OH 45631(740) 446-7806 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 25, 2022, Jul 10, 2019, May 11, 2018 (3 updates tracked since 2018).

About Dr. Kenneth Daniel Willis Dds NPPES

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

DR. KENNETH DANIEL WILLIS DDS (NPI 1457841835) is an individual dentist in Gallipolis, Ohio, licensed in Ohio (30.025895) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1457841835
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KENNETH DANIEL WILLISCredential: DDS
Location Address878 JACKSON PIKEGallipolis, OH 45631-1391
Mailing Address878 Jackson PikeGallipolis, OH 45631-1391 · (740) 446-7806
Sole ProprietorNo
Enumeration DateMay 11, 2018
Last NPPES UpdateAugust 25, 20223 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
NPI 1457841835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OH · 30.025895
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

878 JACKSON PIKE, Gallipolis, OH 45631

Secondary Practice Locations 3

Location 15012 Talmadge Rd Ste 100Toledo, OH 43623 · Phone (419) 474-9611
Location 23000 Arlington AveToledo, OH 43614-2598 · Phone (419) 383-3805 · Fax (419) 383-2969
Location 34359 Keystone Dr Ste 100Maumee, OH 43537-8709 · Phone (419) 893-0221

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kenneth Daniel Willis Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45631 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
878 JACKSON PIKE
GALLIPOLIS, OH 45631
Dentist
878 JACKSON PIKE
GALLIPOLIS, OH 45631

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 Kenneth Willis's NPI number?

The NPI number for Kenneth Willis is 1457841835. It was assigned to this individual provider in the NPPES registry on May 11, 2018.

Where is Kenneth Willis located?

Kenneth Willis practices at 878 Jackson Pike, Gallipolis, OH 45631. The listed phone number is (740) 446-7806.

What is Kenneth Willis's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kenneth Willis enrolled in Medicare?

Yes. Kenneth Willis is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Willis accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, MedMutual and Renaissance Dental and 1 other insurer list Kenneth Willis 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 Kenneth Willis was last updated on August 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.