DR. KENNETH DANIEL WILLIS (NPI# 1457841835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457841835 |
| Entity Type | Individual |
| Full Name | DR. KENNETH DANIEL WILLIS |
| Credential | DDS |
| Practice Address |
5012 Talmadge Rd Ste 100 Toledo OH 43623 |
| Mailing Address |
5012 Talmadge Rd Ste 100 Toledo OH 43623-2168 |
| Practice Telephone | 4194749611 |
| Mailing Telephone | 4194749611 |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2019-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30.025895 | OH | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3000 Arlington Ave, Toledo, OH 436142598 | 4193833805 | 4193832969 |
| 4359 Keystone Dr Ste 100, Maumee, OH 435378709 | 4198930221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356431696 | Kenneth W. Willis | Psychiatry & Neurology | 168 Tamarack Cir, Skillman, NJ 08558-2021 | 2006-10-16 |
| 1053486704 | Kenneth Dean Willis | Anesthesiology | 3007 Memorial Pkwy Sw, Huntsville, AL 35801-5393 | 2006-11-21 |
| 1639248867 | Kenneth Joseph Willis | Counselor | 2802 Broadway, Everett, WA 98201-3642 | 2006-11-06 |
| Street Address |
5012 TALMADGE RD STE 100 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235349408 | Rina M. Gudelman-segall | Dentist | 5012 Talmadge Rd Ste 100, Toledo, OH 43623-2168 | 2007-05-23 |
| 1760960702 | Sarah Eissa | Dentist | 5012 Talmadge Rd Ste 100, Toledo, OH 43623-2168 | 2018-08-01 |
| 1184117202 | Cyrus Martin Razmgar | Dentist | 5012 Talmadge Rd Ste 100, Toledo, OH 43623-2168 | 2018-06-13 |
| 1326494022 | Jason Derrick Diterlizzi | Dentist | 5012 Talmadge Rd Ste 100, Toledo, OH 43623-2168 | 2016-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062750 | Virtual Gender Care Clinic LLC | Clinic/Center | 5616 Birchdale Dr., Toledo, OH 43623 | 2020-10-28 |
| 1043824410 | Paula Milkie | Speech-Language Pathologist | Westwood Early Childhood Center, 3939 Wrenwood, Toledo, OH 43623 | 2020-09-03 |
| 1528678190 | Kori Michelle Pfeiffer | Nurse Practitioner | 4640 Alexis Road, Toledo, OH 43623 | 2020-08-07 |
| 1124683636 | Dana Lynn Oswald | Nurse Practitioner | The Toledo Clinic Cancer Center, 4126 N. Holland Sylvania Rd. Suite 105, Toledo, OH 43623 | 2019-05-09 |
| 1902382922 | Elizabeth Satterthwaite | Dietitian, Registered | 4345 Secor Rd Ste A, Toledo, OH 43623 | 2018-07-12 |
| 1447756804 | Optimum Health Restoration and Anti-aging - Toledo, LLC | General Practice | 4041 Sylvania Avenue, Toledo, OH 43623 | 2018-04-04 |
| 1659897387 | Danajo Marie Woods | Nurse Practitioner | 4235 Secor Rd Bldg 3, Toledo, OH 43623 | 2017-08-15 |
| 1013449784 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 3546 W. Sylvania Ave, Toledo, OH 43623 | 2017-03-31 |
| 1487101879 | Cletus Payne | Nurse Practitioner | 4405 N. Holland Sylvania Rd., Toledo, OH 43623 | 2016-09-02 |
| 1912451634 | Iman Alazzawi | Registered Nurse | 4615 N Holland Sylvania Rd Apt 40, Toledo, OH 43623 | 2016-08-10 |
| Find all providers in zip 43623 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867132 | Ashley Nicole Billings | Dentist | 4640 W Alexis Rd Ste 200, Toledo, OH 43623-1182 | 2020-06-29 |
| 1427415405 | Bakana Group Inc | Dentist | 1910 Cherry St, Toledo, OH 43608-2802 | 2016-01-22 |
| 1306221734 | Kalabari Inc | Dentist | 240 W Alexis Rd Ste F, Toledo, OH 43612-5110 | 2015-07-27 |
| 1104205608 | Randy Swade | Dentist | 5552 Secor Rd, Toledo, OH 43623-1922 | 2015-05-29 |
| 1376965897 | Robert Manthe | Dentist | 147 Inman Ln, Toledo, WA 98591-9447 | 2014-01-17 |
| 1871923607 | Lawrence P Schmakel Dds Inc | Dentist | 4343 N Holland Sylvania Rd, Toledo, OH 43623-2507 | 2013-11-14 |
| 1366888406 | Shabbir M Hashim Dds Inc | Dentist | 3349 Executive Pkwy Ste A, Toledo, OH 43606-1336 | 2013-05-16 |
| 1629381439 | Lexington and Mardjj Inc | Dentist | 1843 W Alexis Rd Ste 4, Toledo, OH 43613-2354 | 2010-07-21 |
| 1780813469 | Sarah Kay Smith | Dentist | 1843 W. Alexis, #3, Toledo, OH 43613 | 2009-07-02 |
| 1790939239 | Elliot P. Schlang, Dds, Ohio, Inc. | Dentist | 3726 W. Central Ave., Suite M#111, Toledo, OH 43617 | 2008-11-11 |
| Find all providers in TOLEDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.