# WILLETT DENTAL ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396330924
- **Authorized official:** DR. KENT F WILLETT DDS (PARTNER)
- **Authorized official phone:** (573) 445-5300

## Contact information

- **Practice address:** 1601 CHAPEL HILL RD STE C, COLUMBIA, MO 65203-5462
- **Practice address phone:** (573) 445-5300
- **Practice address fax:** (573) 446-5118
- **Mailing address:** 1601 CHAPEL HILL RD STE C, COLUMBIA, MO 65203-5462
- **Mailing address phone:** (573) 445-5300
- **Mailing address fax:** (573) 446-5118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/05/2021
- **Last updated:** 03/05/2021