Doctor profile · Federal record
Dr. Avi Willis, DMD, Mast
Pediatric Dentist · Pediatric Dentist · Pediatric Dentist · Encinitas, CA
- NPI 1942681069
- 11 yrs on file
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
135 Saxony RD
Encinitas, CA 920243791
(760) 634-5437 - Mailing address
-
6155 Radcliffe Dr
San Diego, CA 921223311
Credentials & registration
- NPI registered
- June 2015 — 11 yrs on file
- Profile last updated
- November 9, 2021
- Specialty taxonomy
- 1223P0221X — NUCC code
- State licenses (3)
- California #DDS102334 · Pennsylvania #DS040383 · New Jersey #22DI02765200
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1942681069. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$74
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Premier Dental Products Company | 2 | $50.63 | |
| Solventum Corporation | 1 | $23.69 |
By nature of payment
Frequently asked questions
What is Dr. Avi Willis's medical specialty?
Dr. Avi Willis practices Pediatric Dentist in Encinitas, CA.
Where does Dr. Avi Willis practice?
Dr. Avi Willis practices at 135 Saxony RD, Encinitas, CA 920243791. Office phone: 7606345437.
What is Dr. Avi Willis's NPI?
Dr. Avi Willis's National Provider Identifier (NPI) is 1942681069, issued by NPPES.