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PIONEER DENTISTRY OF WILLIS, PLLC
NPI 1578084406
Dentist - General Practice in Willis, TX

Active since June 30, 2017
12501 CANYON FALLS BLVD, WILLIS, TX 77318(936) 931-4462 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2022, Sep 8, 2020, Jul 3, 2017 and 1 more (4 updates tracked since 2017).

About Pioneer Dentistry Of Willis, Pllc NPPES

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

PIONEER DENTISTRY OF WILLIS, PLLC (NPI 1578084406) is a healthcare organization registered as a general practice in Willis, Texas and active in the NPI registry since June 2017. The organization lists Okey Okechukwu, Dds, as its authorized official.

NPPES Registry Identity

NPI1578084406
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePIONEER DENTISTRY OF WILLIS, PLLC
Location Address12501 CANYON FALLS BLVDWillis, TX 77318-5825
Mailing Address12501 Canyon Falls Blvd Ste FWillis, TX 77318-5809
Phone(936) 931-4462
Organization SubpartNo
Authorized OfficialOkey OkechukwuDds · (936) 856-3900
Enumeration DateJune 30, 2017
Last NPPES UpdateMay 11, 20224 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1578084406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.

12501 CANYON FALLS BLVD, Willis, TX 77318
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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 2

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

SYNERGY AESTHETICS & WELLNESS
General Practice
12501 CANYON FALLS BLVD, SUITE B
WILLIS, TX 77318
Montgomery County (936) 449-8008
MICHAEL BAILEY DDS PLLC
Clinic/Center (Dental)
12501 CANYON FALLS BLVD
WILLIS, TX 77318
Montgomery County (936) 931-4462

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 Pioneer Dentistry Of Willis, PLLC's NPI number?

The NPI number for Pioneer Dentistry Of Willis, PLLC is 1578084406. It was assigned to this organization in the NPPES registry on June 30, 2017.

Where is Pioneer Dentistry Of Willis, PLLC located?

Pioneer Dentistry Of Willis, PLLC is located at 12501 Canyon Falls Blvd, Willis, TX 77318. The listed phone number is (936) 931-4462.

What is Pioneer Dentistry Of Willis, PLLC'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 Pioneer Dentistry Of Willis, PLLC was last updated on May 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.