Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLARD JACKSON ELLIS JR., DDS
ActiveWILLARD JACKSON ELLIS JR., DDS is a General Dentistry healthcare provider located in ROCKY MOUNT, North Carolina. NPI 1306965140 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · ROCKY MOUNT, NC
Registration Details
- NPI Number
- 1306965140
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2007 (19.384952729391 yrs)
- Last Updated
- Mar 7, 2023
- License
-
4633 (NC)
Practice Information
- Address
-
3136 SUNSET AVENUEROCKY MOUNT, NC, 278043650Browse NC providers · Browse ZIP 27804
- Phone
- 2524439121
- Fax
- 2524439836
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in ROCKY MOUNT, NC
| Name | Credential | NPI |
|---|---|---|
| DR. EDWARD W JERNIGAN | DDS | 1174550339 |
| DR. TIFFINEY TYLAINE HARPER | D.D.S | 1285648071 |
| DR. N BILL BLAYLOCK JR. | DDS | 1972512028 |
| DR. FELICIA DELINA SINGLETARY | D.M.D. | 1801809686 |
| DR. DONNA M RESNER | DDS | 1649363672 |
| DR. JACKIE MAURICE MULLEN | DDS.PA | 1902975303 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.