Search › Texas › 1223G0001X
Shaun Willis, D.M.D
NPI 1942597976 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1108 N Mechanic St
El Campo, TX 77437 - Phone
- (979) 541-5400
- Organisation at this address
- Willis 1 Dentistry Pllc
Saint Apollonia Medicaid Dental Clinic Of Texas, PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 1426 Sidney Baker St, Kerrville, TX
- 106 Shult Dr Ste Ab, Columbus, TX
- 1108 N Mechanic St, El Campo, TX
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 332B00000X
332B00000X - Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas