NPI 1902003312 · live from the CMS NPI Registry
Allena Willis, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Washington, DC. National Provider Identifier 1902003312, active.
NPI record
| NPI | 1902003312 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2021 K St Nw, #301, Washington, DC 20006 |
| Practice phone | 202-379-5103 |
| Mailing address | 2021 K Street Nw, #301, Washington, DC 20006 |
| Enumerated | June 29, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
| Other names | Allena Kennerly |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DEN1000484 (DC) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 13861 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.