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WILLIS DENTAL
NPI 1629522396
Durable Medical Equipment & Medical Supplies - Customized Equipment in Salem, OR

Active since August 10, 2016
1261 LANCASTER DR NE, SALEM, OR 97301(503) 364-3004(503) 364-1623 Get Directions Write a Review

NPPES record last updated: September 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2016, Aug 10, 2016 (2 updates tracked since 2016).

About Willis Dental NPPES

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

WILLIS DENTAL (NPI 1629522396) is a healthcare organization registered as a customized equipment in Salem, Oregon and active in the NPI registry since August 2016. The organization lists David G Willis, Dentist, as its authorized official.

NPPES Registry Identity

NPI1629522396
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameDAVID WILLIS DMD, LLC
Location Address1261 LANCASTER DR NESalem, OR 97301-1959
Mailing Address1261 Lancaster Dr NeSalem, OR 97301-1959 · (503) 364-3004 · Fax (503) 364-1623
Phone(503) 364-3004
Fax(503) 364-1623
Organization SubpartNo
Authorized OfficialDavid G WillisDentist · (503) 364-3004
Enumeration DateAugust 10, 2016
Last NPPES UpdateSeptember 30, 20162 updates tracked since enumeration
✔ NPI 1629522396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
License✔ Licensed in OR · D7786
1261 LANCASTER DR NE, Salem, OR 97301
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Other Names 1

Other NameWillis Dental

Other Identifiers 1

Other1841395977OR · David G. Willis, Dmd

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.

DR. DAVID G WILLIS DMD
Dentist (General Practice)
1261 LANCASTER DR NE
SALEM, OR 97301
Marion County (503) 364-3004
COURTNEY MAE EMICK RDH
Dental Hygienist
1261 LANCASTER DR NE
SALEM, OR 97301
Marion County (971) 707-4983

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 David Willis Dmd, LLC's NPI number?

The NPI number for David Willis Dmd, LLC is 1629522396. It was assigned to this organization in the NPPES registry on August 10, 2016. The provider is also known as Willis Dental.

Where is David Willis Dmd, LLC located?

David Willis Dmd, LLC is located at 1261 Lancaster Dr NE, Salem, OR 97301. The listed phone number is (503) 364-3004.

What is David Willis Dmd, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for David Willis Dmd, LLC was last updated on September 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.