NPIMap

Organization Active NPI

Willett Dental Associates LLC

  • Dental Clinic/Center
  • Columbia, MO
National Provider Identifier
1396330924
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WILLETT DENTAL ASSOCIATES LLC
Practice address
1601 Chapel Hill Rd Ste C
Columbia, MO 65203-5462
Phone
(573) 445-5300
Fax
(573) 446-5118
NPI assigned
Mar 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kent F Willett, DDSNPI 1801908389
Title
Partner
Phone
(573) 445-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1601 Chapel Hill Rd Ste C
Columbia, MO 65203-5462

Mailing address

1601 Chapel Hill Rd Ste C
Columbia, MO 65203-5462
Phone (573) 445-5300

National Provider Directory

National Provider Directory

Locations

1601 Chapel Hill Rd
Ste C
Columbia, MO 65203
Phone (573) 445-5300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1396330924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CHAPEL HILL RD STE C",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035462",
            "telephone_number": "573-445-5300",
            "fax_number": "573-446-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CHAPEL HILL RD STE C",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035462",
            "telephone_number": "573-445-5300",
            "fax_number": "573-446-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLETT DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "WILLETT",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "573-445-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.