Kent F Willett, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13368 Issued in MO

Practice address

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

Phone

(573) 445-5300

Fax

(573) 446-5118

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Willett Dental Associates LLC

  • Dental Clinic/Center
  • Columbia, MO
  • NPI 1396330924
  NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801908389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CHAPEL HILL RD",
            "address_2": "SUITE 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",
            "address_2": "SUITE C",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035462",
            "telephone_number": "573-445-5300",
            "fax_number": "573-446-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETT",
        "first_name": "KENT",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "13368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilks Counseling LLC
• Abram Dillon Wilks, PLCSW
• Claire Willard
• Anna Lynn Willcoxon, LMSW
• Willett Dental Associates LLC
• William D Dellande OD PC & J Andrew Kramer OD PC Partners
• Williams Dental LLC
• Williams Lifecare Services LLC
• Aiyuanna A'Lan Williams, RBT
• Alex Jay Williams, ATC

• General Practice Dentistry in Columbia, MO
• Providers in Columbia, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.