Individual Healthcare Provider
Kenneth Daniel Willis, DDS
Provider's NPPES record last updated: August 25, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1457841835
- Primary Specialty
- Dentist
- Practice Location
- Gallipolis, Ohio
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 12:29 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dentist
Dental Providers
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Taxonomy code 122300000X
Provider-Reported License Information
- Dentist (Ohio)
- 30.025895
Practice Locations
Practice Location
878 Jackson Pike
Gallipolis, Ohio 45631-1391
Phone: (740) 446-7806
Additional Practice Location
5012 Talmadge Rd Ste 100
Toledo, Ohio 43623
Phone: (419) 474-9611
Additional Practice Location
4359 Keystone Dr Ste 100
Maumee, Ohio 43537-8709
Phone: (419) 893-0221
Additional Practice Location
3000 Arlington Ave
Toledo, Ohio 43614-2598
Phone: (419) 383-3805
Fax: (419) 383-2969
Record Information
- Enumeration Date
- May 11, 2018
- Provider's NPPES Record Last Updated
- August 25, 2022
- Certification Date
- August 25, 2022
- NPISignal NPPES Dataset
- August 2026
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