Willard Jackson Ellis Jr. is a Rocky Mount, North Carolina based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Willard Jackson Ellis Jr. is 4633 for General Practice Dentistry in North Carolina. His current practice location is 3136 Sunset Avenue, Rocky Mount. Patients can reach him at 252-443-9121.
Willard Jackson Ellis Jr. is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Willard Jackson Ellis Jr. 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:
Willard Jackson Ellis Jr.
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
3136 Sunset Avenue, Rocky Mount, North Carolina, 27804-3650
Phone:
252-443-9121
Fax:
252-443-9836
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:
1306965140
NPI Enumeration Date:
29 Mar, 2007
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Willard Jackson Ellis Jr. are as mentioned below.
License Number
Specialization
State
Status
4633
General Practice Dentistry
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Willard Jackson Ellis Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7992473
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3136 Sunset Avenue, Rocky Mount, North Carolina
Zip:
27804-3650
Phone Number:
252-443-9121
Fax Number:
252-443-9836
Patients can reach Willard Jackson Ellis Jr. at 3136 Sunset Avenue, Rocky Mount, North Carolina or can call to book an appointment on 252-443-9121. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.