P Praxis·MD
● Active Type 2 · Organization

Warren Willis DMD P.c.

Dentist·Emmett, ID· NPI 1255577490 · Enumerated 2008 · 17 years on NPI
Warren Willis DMD P.c. is 1 of 1099 dentist organizations in Idaho.
NPI age
17 years
Enumerated 2008-12-17
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Willis
Owner
Last NPPES update
2008-12-17
Source: monthly bulk 2026-05

How this organization compares

Across 1099 active dentist providers in Idaho.

NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-12Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
119 N Wardwell Ave
Emmett, ID 836173040
📞 2083656313
Mailing address
119 N Wardwell Ave
Emmett, ID 836173040
📞 2083656313

Authorized official

Warren Richard Willis, DMD
Owner
📞 2083656313

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    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.
    ID license #D-3635 taxonomy 1223G0001X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Emmett Dental Group P.C.
    Type code 3 recorded 2008-12-17

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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