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Ryan M Willis, DDS

Dentist, General Practice in McKinney, TX. Individual provider (NPI-1).

NPI number1487981817
StatusActive
Last updated in NPPESNov 5, 2009

Details

NPI
1487981817
Entity type
Individual (NPI-1)
Name
Ryan M Willis
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 5, 2009
Last updated
Nov 5, 2009

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice25069TXYes

Practice location

1750 North Stonebridge Drive
105
McKinney, TX 75071

Phone 801-390-2361

Mailing address

1750 N. Stonebridge Drive
Suite #105
McKinney, TX 75071

Phone 801-390-2361

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other General Practice Dentistry providers in McKinney, TX

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