Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Warren Willis DMD PC

Organization General Practice Dentistry · NPI 1255577490

Warren Willis DMD PC provides General Practice Dentistry in Emmett, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

119 N Wardwell Ave
Emmett, ID 83617-3040 Not confirmed with CMS for 17 years — call before visiting
Phone: (208) 365-6313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D-3635 (ID)

Record details

NPI number1255577490
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Warren Willis — Owner · (208) 365-6313
Other names Emmett Dental Group P.C.
NPI enumeratedDecember 17, 2008
Last updated in NPPESDecember 17, 2008
Mailing address119 N Wardwell Ave, Emmett, ID 83617-3040

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