Willard Jackson Ellis JR. DDS

  • NPI 1306965140
According to our database, the NPI number for Willard Jackson Ellis JR. DDS is 1306965140 and activated since 17 years ago. Willard Jackson Ellis JR. DDS is an individual provider who specializes in General Practice, and the primary practice location is 3136 Sunset Avenue, Rocky Mount, NC 27804. You can also contact Willard Jackson Ellis JR. DDS via telephone number is (252) 443-9121. Provider NPI information was last updated on 06/26/2009.

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Overview of Willard Jackson Ellis JR. DDS

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/29/2007
  • Last updated: 06/26/2009

Primary Scrop of Practice

  • Taxonomy Code: 1223G0001X
  • Specialty: General Practice
  • License Number: 4633
  • License State: NC

Provider Mailing Address

  • Address: 3136 Sunset Avenue
    Rocky Mount, NC 27804
  • Phone: 252-443-9121
  • Fax: 252-443-9836

Provider Practice Location

  • Address: 3136 Sunset Avenue
    Rocky Mount, NC 27804
  • Phone: 252-443-9121
  • Fax: 252-443-9836

Scope of Practice

  • Taxonomy Code: 1223G0001X
  • Specialty: General Practice
  • License Number: 4633
  • License State: NC
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 7992473
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: NC
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Willard Jackson Ellis JR. DDS?
  • A: The npi number for Willard Jackson Ellis JR. DDS is 1306965140.
  • Q: What are Willard Jackson Ellis JR. DDS's specialties?
  • A: Willard Jackson Ellis JR. DDS's specialties are General Practice and different specialities.
  • Q: What is the medical license for Willard Jackson Ellis JR. DDS?
  • A: The medical license number for Willard Jackson Ellis JR. DDS is 4633 and issued in NC in USA.
  • Q: Where is Willard Jackson Ellis JR. DDS practice location?
  • A: Willard Jackson Ellis JR. DDS is practicing at 3136 Sunset Avenue, Rocky Mount, NC 27804.
  • Q: How to contact Willard Jackson Ellis JR. DDS?
  • A: You can contact Willard Jackson Ellis JR. DDS via 252-443-9121.
Medicare Specialty
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