Individual provider · Type 1 NPI

Kamili J. Willis

General Practice Dentistry · Atlanta, GA

NPI number 1609841204 Active

Practice location

3050 Martin Luther King Jr Dr SW
Atlanta, GA 30311-1500

Mailing address

415 N Grand Ave
Pueblo, CO 81003-3111

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN013181 (GA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1609841204

Kamili J. Willis's National Provider Identifier is 1609841204, issued on Feb 17, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Atlanta, GA. The record was last updated on Jul 13, 2026.