MEDICARE: DR. KALI WILLIS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	28965	TX

General Provider Information

NPI Number	:	1164855482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KALI WILLIS DDS

Provider Business Mailing Address
First Line	:	308 S CESAR CHAVEZ AVE
Second Line	:
City	:	CRYSTAL CITY
State	:	TX
Zip	:	78839-4200
Country	:	US
Telephone Number	:	830-374-2301
Fax Number	:

Provider Business Practice Location Address
First Line	:	4507 SWEETWATER BLVD
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3010
Country	:	US
Telephone Number	:	281-980-1150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2013
Last Update Date	:	02/24/2026

Similar Medicare Providers

1689676868 — DR. JOY ROSNER O.D.
Practice Location Address:

4511 SWEETWATER BLVD
SUGAR LAND, TX
77479-3010

Practice Phone: 281-265-2020
Practice Fax: 281-265-2029

1619935038 — DR. STEVEN CHARLES DAVENPORT OD
Practice Location Address:

4511 SWEETWATER BLVD
SUGAR LAND, TX
77479-3010

Practice Phone: 281-265-2020
Practice Fax: 281-265-2029

1841258258 — DR. ROBERT ANDREW SALCHAK OD
Practice Location Address:

4511 SWEETWATER BLVD
SUGAR LAND, TX
77479-3010

Practice Phone: 281-491-1037
Practice Fax: 281-265-2029

1710993738 — DR. DENNIS REAGAN GRIZZLE D.D.S.
Practice Location Address:

4501 SWEETWATER BLVD
SUGAR LAND, TX
77479-3010

Practice Phone: 281-980-4104
Practice Fax: 281-980-9696

1134252141 — DR. BRUCE C. GREENWAY D.D.S.
Practice Location Address:

4507 SWEETWATER BLVD
SUGAR LAND, TX
77479-3010

Practice Phone: 281-980-1150
Practice Fax: 281-980-5099

1760501985 — DR. DENNIS E. HALFORD DDS MS
Practice Location Address:

4503 SWEETWATER BLVD
SUGAR LAND, TX
77479-3010

Practice Phone: 281-980-8351
Practice Fax: 281-980-6151

Directions to “ DR. KALI WILLIS DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.