KYNNEDY B WILLSON DDS
NPI 1578458675
Dentist - General Practice in Centerton, AR

Q: What is Kynnedy Willson's NPI number?

The NPI number for Kynnedy Willson is 1578458675. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Q: What is Kynnedy Willson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kynnedy Willson was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since June 10, 2025

310 E CENTERTON BLVD, CENTERTON, AR 72719(479) 579-3742 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Kynnedy B Willson Dds NPPES

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

KYNNEDY B WILLSON DDS (NPI 1578458675) is an individual general practice provider in Centerton, Arkansas, licensed in Arkansas (4849) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1578458675

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameKYNNEDY B WILLSONCredential: DDS

Location Address310 E CENTERTON BLVDCenterton, AR 72719-9217

Mailing Address2385 Buckside StSpringdale, AR 72762-3292 · (337) 499-0155

Phone(479) 579-3742

Sole ProprietorYes

Enumeration DateJune 10, 2025

NPPES CertifiedJune 10, 2025

✔ NPI 1578458675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in AR · 4849

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.

310 E CENTERTON BLVD, Centerton, AR 72719

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Delta Dental of Arkansas and more.Insurance ›

Other Providers at the Same Location NPPES

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

EPIC SMILES PLLC

Dentist (General Practice)

310 E CENTERTON BLVD
CENTERTON, AR 72719

Benton County (417) 207-5407

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 Kynnedy Willson's NPI number?

The NPI number for Kynnedy Willson is 1578458675. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Where is Kynnedy Willson located?

Kynnedy Willson practices at 310 E Centerton Blvd, Centerton, AR 72719. The listed phone number is (479) 579-3742.

What is Kynnedy Willson's specialty?

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

What insurance does Kynnedy Willson accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Delta Dental of Arkansas, Health Advantage and Humana and 1 other insurer list Kynnedy Willson 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 Kynnedy Willson was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.