DR. KENNETH DANIEL WILLIS (DDS) – Dentist, NPI 1457841835
Dentist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. KENNETH DANIEL WILLIS (DDS)
Talmadge Road, Franklin Park, Toledo, Lucas County, Ohio, 43623, United States
TOLEDO, OH 436232168
Phone: (419) 474-9611
Type: Mailing
5012 Talmadge Rd Ste 100
Toledo, OH 43623
Phone: (419) 474-9611
Type: Location
4359 Keystone Dr Ste 100
Maumee, OH 435378709
Phone: (419) 893-0221
Type: Location
3000 Arlington Ave
Toledo, OH 436142598
Phone: (419) 383-3805
Fax: (419) 383-2969
Type: Location
878 JACKSON PIKE
GALLIPOLIS, OH 456311391
Phone: (740) 446-7806
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-07-09
PECOS data refreshed: 2026-06-15
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43623)
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