Dale Wayne Willoughby
DDS | Oral and Maxillofacial Surgeon
6707 39th Ave, Kenosha
Wisconsin, 53142-7125
262-658-3559 262-658-0276
Maps & DirectionsDale Wayne Willoughby is a Kenosha, Wisconsin based Oral and Maxillofacial Surgeon who is specialized in
Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dale Wayne Willoughby is
4998-015 for Oral and Maxillofacial Surgery in Wisconsin. His current practice location is
6707 39th Ave, Kenosha. Patients can reach him at
262-658-3559.
Dale Wayne Willoughby deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Dale Wayne Willoughby speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dale Wayne Willoughby |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 6707 39th Ave, Kenosha,
Wisconsin, 53142-7125 |
| Phone: | 262-658-3559 |
| Fax: | 262-658-0276 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1700880556 |
| NPI Enumeration Date: | 09 Jun, 2005 |
| NPI Last Update On: | 02 Jun, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dale Wayne Willoughby are as mentioned below.
| License Number | Specialization | State | Status | |
| 4998-015 | Oral and Maxillofacial Surgery | Wisconsin | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6707 39th Ave,
Kenosha, Wisconsin |
| Zip: | 53142-7125 |
| Phone Number: | 262-658-3559 |
| Fax Number: | 262-653-1142 |
Patients can reach Dale Wayne Willoughby at
6707 39th Ave, Kenosha, Wisconsin or can
call to book an appointment on 262-658-3559.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.