DR. JON YOUNG WILLINGHAM D.D.S. NPI 1306856356

NPI Information

  • NPI: 1306856356
  • Provider Name: DR. JON YOUNG WILLINGHAM, D.D.S.
  • Classification: Dentist - 1223D0001X
  • Specialization: Dental Public Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: LA CLINICA MONUMENT DENTAL 2000 SIERRA ROAD
    2ND FLOOR
    CONCORD, CA
    ZIP 94518
  • Phone: (925) 363-1256

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NPI Details

DR. Jon Young Willingham, D.D.S. is a dental public health dentist in Concord, CA. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. DR. Jon Young Willingham, D.D.S. NPI is 1306856356. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

LA CLINICA MONUMENT DENTAL 2000 SIERRA ROAD
2ND FLOOR
CONCORD, CA
ZIP 94518
Phone: (925) 363-1256
Fax: (925) 356-2499

The NPI 1306856356 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/9/2006 and was last updated on 4/3/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice60319KANSASNo
21223D0001XDentistDental Public Health100042CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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