Individual provider · Type 1 NPI

Jeffrey Alan Willis, DDS, MS

Prosthodontics · San Diego, CA

NPI number 1164040044 Active

Practice location

2310 Craven St
San Diego, CA 92136-5596

Specialties and licenses

TaxonomyCodeLicense
Prosthodontics Primary 1223P0700X1188483 (NY)

Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

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About NPI 1164040044

Jeffrey Alan Willis, DDS, MS's National Provider Identifier is 1164040044, issued on Jul 8, 2020. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in San Diego, CA. The record was last updated on Nov 4, 2025.