Kynnedy B Willson, DDS - Dentist in Centerton, AR

  1. Home
  2. Dentists
  3. AR
  4. Centerton
Kynnedy B Willson, DDS is a Dentist - General Practice based in Centerton, Arkansas. Kynnedy B Willson is licensed to practice in Arkansas (license number 4849) and her current practice location is 310 E Centerton Blvd, Centerton, Arkansas. She can be reached at her office (for appointments etc.) via phone at (479) 579-3742.

NPI number for Kynnedy B Willson is 1578458675 and her current mailing address is 2385 Buckside St, Springdale, Arkansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578458675.

Contact Information

Kynnedy B Willson, DDS
310 E Centerton Blvd,
Centerton, AR 72719-9217
(479) 579-3742
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKynnedy B Willson
GenderFemale
SpecialityDentist - General Practice
Location310 E Centerton Blvd, Centerton, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1578458675
  • Provider Enumeration Date: 06/10/2025
  • Last Update Date: 06/10/2025

Medical Identifiers

Medical identifiers for Kynnedy B Willson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578458675NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 4849 (Arkansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kynnedy B Willson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kynnedy B Willson, DDS
2385 Buckside St,
Springdale, AR 72762-3292

Ph: (337) 499-0155		Kynnedy B Willson, DDS
310 E Centerton Blvd,
Centerton, AR 72719-9217

Ph: (479) 579-3742

Reviews and Comments


Dentist in Centerton, AR

Dr. Andrew Jason Phipps, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 807 West Centerton Blvd, Centerton, AR 72719
Phone: 479-224-6616    Fax: 479-224-6749

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.