IndividualActive
Beth Willard, CDA
NPI 1962611368 · Dental Assistant · Augusta, GA
Provider details
- NPI number
- 1962611368
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- CDA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% 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
1459 Laney Walker Blvd
Ad2802
Augusta, GA 30912-0002
Phone: (706) 721-2716
Fax: (706) 721-1893
Street-level locationGet directions
Mailing address
530 Henderson Dr
Augusta, GA 30909-3741
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.