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

Dr. Robert A Willis, DMD

Individual provider General Practice Dentistry · NPI 1265020770

Dr. Robert A Willis, DMD is a General Practice Dentistry in Clemmons, North Carolina. Licensed in North Carolina. Registered with an NPI since 2021.

Licensed in
NC
In the registry since
2021
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

177 Waddington Rd
Clemmons, NC 27012-9066
Phone: (919) 917-8250
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12109 (NC)
General Practice Dentistry Taxonomy 1223G0001X · Licence 12109 (NC)

Record details

NPI number1265020770
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJanuary 10, 2021
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024
Mailing address177 Waddington Rd, Clemmons, NC 27012-9066

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