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

Dr. Jeffrey Alan Willis, DDS, MS

Individual provider Prosthodontics · NPI 1164040044

Dr. Jeffrey Alan Willis, DDS, MS is a Prosthodontics in San Diego, California. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
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.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

2310 Craven St
San Diego, CA 92136-5596
Phone: (619) 556-9095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 1188483 (NY)

Record details

NPI number1164040044
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS
Sole proprietorNo
NPI enumeratedJuly 8, 2020
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

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