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

Khori-Ann Willis

Individual provider General Practice Dentistry · NPI 1396420618

Khori-Ann Willis practises General Practice Dentistry in New York, New York. Licensed in South Carolina. Registered with an NPI since 2023.

Licensed in
SC
In the registry since
2023

Practice location Address checks out

506 Lenox Ave
New York, NY 10037-1802
Phone: (954) 850-8254
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 11477 (SC)

Record details

NPI number1396420618
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 15, 2023
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026

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