OrganizationActive
David Willis DMD, LLC
NPI 1629522396 · Customized Equipment (DME) · Salem, OR
David Willis DMD, LLC is a Customized Equipment (DME) organization in Salem, OR (NPI 1629522396).
Provider details
- NPI number
- 1629522396
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- David Willis, Dentist(503) 364-3004
- License
- D7786 (OR)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1261 Lancaster Dr Ne
Salem, OR 97301-1959
Phone: (503) 364-3004
Fax: (503) 364-1623
Street-level locationGet directions
Mailing address
1261 Lancaster Dr Ne
Salem, OR 97301-1959
Other names (DBA / former)
- Other name
- Willis Dental
Registry dates
- Enumerated
- 2016-08-10
- Last updated
- 2016-09-30
Frequently asked questions
- What is David Willis DMD, LLC's NPI number?
- David Willis DMD, LLC's National Provider Identifier (NPI) is 1629522396, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is David Willis DMD, LLC?
- David Willis DMD, LLC is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is David Willis DMD, LLC located?
- David Willis DMD, LLC's practice location on file with NPPES is 1261 Lancaster Dr Ne, Salem, OR 97301-1959.
- What is David Willis DMD, LLC's phone number?
- The practice phone number listed in the NPPES registry for David Willis DMD, LLC is (503) 364-3004.
- Who is the authorized official for David Willis DMD, LLC?
- The authorized official listed on David Willis DMD, LLC's NPPES record is David Willis, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is David Willis DMD, LLC's NPI active?
- Yes — David Willis DMD, LLC's NPI (1629522396) is active in the NPPES registry as of the last update on 2016-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.