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

Dale Wayne Willoughby, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1700880556

Dale Wayne Willoughby, DDS is an Oral and Maxillofacial Surgery (Dentist) in Kenosha, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2005
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

6707 39th Ave
Kenosha, WI 53142-7125
Phone: (262) 658-3559
Fax: (262) 658-0276
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 4998-015 (WI)

Record details

NPI number1700880556
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 9, 2005
Last updated in NPPESJune 2, 2022
Certification dateJune 2, 2022
Mailing address6707 39th Ave, Kenosha, WI 53142-7125

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