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WILLOW DENTAL
NPI 1851936942
Dentist - General Practice in Killen, AL

Active since November 12, 2019
1367 HIGHWAY 72, KILLEN, AL 35645(256) 757-5313 Get Directions Write a Review

NPPES record last updated: November 12, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Willow Dental NPPES

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

WILLOW DENTAL (NPI 1851936942) is a healthcare organization registered as a general practice in Killen, Alabama and active in the NPI registry since November 2019. The organization lists Stacey L Evans, Manager, as its authorized official.

NPPES Registry Identity

NPI1851936942
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWILLOW DENTAL
Location Address1367 HIGHWAY 72Killen, AL 35645-9136
Mailing Address515 County Road 402Killen, AL 35645-5815 · (256) 810-3955
Phone(256) 757-5313
Organization SubpartNo
Authorized OfficialStacey L EvansManager · (256) 810-3955
Enumeration DateNovember 12, 2019
✔ NPI 1851936942 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.
1367 HIGHWAY 72, Killen, AL 35645
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Other Identifiers 1

Other1003969312AL · Npi

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

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

SINGING RIVER DENTISTRY TREEHOUSE KILLEN, LLC
Dentist (Pediatric Dentistry)
1367 HIGHWAY 72
KILLEN, AL 35645
Lauderdale County (256) 272-3464

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 Willow Dental's NPI number?

The NPI number for Willow Dental is 1851936942. It was assigned to this organization in the NPPES registry on November 12, 2019.

Where is Willow Dental located?

Willow Dental is located at 1367 Highway 72, Killen, AL 35645. The listed phone number is (256) 757-5313.

What is Willow Dental'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 Willow Dental was last updated on November 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.