Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Willow Dental LLC

Organization Dentist · NPI 1477227551

Willow Dental LLC is a Dentist in Omaha, Nebraska. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5709 NW Radial Hwy
Omaha, NE 68104-4141
Phone: (402) 551-1757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1477227551
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lily Davis — Credentialing Specialist · (918) 998-0996
NPI enumeratedAugust 3, 2021
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 6, 2023
Mailing address400 Riverwalk Ter Ste 250, Jenks, OK 74037-5619

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