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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEFFREY ALAN WILLIS, DDS, MS

Active

DR. JEFFREY ALAN WILLIS, DDS, MS is a Pediatric Dentistry healthcare provider located in SAN DIEGO, California. NPI 1164040044 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · SAN DIEGO, CA

Registration Details

NPI Number
1164040044
Provider Type
Individual
Gender
Male
NPI Issued
Jul 8, 2020 (6.0817347837283 yrs)
Last Updated
Nov 4, 2025
License
1188483 (NY)

Practice Information

Address
2310 CRAVEN ST
SAN DIEGO, CA, 921365596
Browse CA providers · Browse ZIP 92136
Phone
6195569095
Primary Specialty
Pediatric Dentistry
1223P0700X

Other Pediatric Dentistry Providers in SAN DIEGO, CA

Name Credential NPI
DR. CURTIS MARTIN WERKING DDS 1730159377
DR. BRUCE NAPIER BLANDY D.D.S. 1417920869
DR. SAM J. WESTOCK D.D.S., MS 1942275599
DR. WILLIAM OLIVER MCINTIRE DMD,MS 1205890167
DR. JOHN HENRY WINSTEN GELLES D.D.S. 1033147905
DR. PAMELA ANGEL MACPHERSON D.D.S. 1598868465
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.