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WILLARD JACKSON ELLIS JR. DDS
NPI 1306965140
Dentist - General Practice in Rocky Mount, NC

Active since March 29, 2007
3136 SUNSET AVENUE, ROCKY MOUNT, NC 27804(252) 443-9121(252) 443-9836 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willard Jackson Ellis Jr. Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLARD JACKSON ELLIS JR. DDS (NPI 1306965140) is an individual general practice provider in Rocky Mount, North Carolina, licensed in North Carolina (4633) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1306965140
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameWILLARD JACKSON ELLIS JR.Credential: DDS
Location Address3136 SUNSET AVENUERocky Mount, NC 27804-3650
Mailing Address3136 Sunset AvenueRocky Mount, NC 27804-3650 · (252) 443-9121 · Fax (252) 443-9836
Phone(252) 443-9121
Fax(252) 443-9836
Sole ProprietorNo
Enumeration DateMarch 29, 2007
Last NPPES UpdateMarch 7, 2023
✔ NPI 1306965140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 4633
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3136 SUNSET AVENUE, Rocky Mount, NC 27804
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Other Identifiers 1

Medicaid7992473NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of North Carolina.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willard Ellis's NPI number?

The NPI number for Willard Ellis is 1306965140. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Willard Ellis located?

Willard Ellis practices at 3136 Sunset Avenue, Rocky Mount, NC 27804. The listed phone number is (252) 443-9121.

What is Willard Ellis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Willard Ellis accept?

Health plans from Delta Dental of North Carolina list Willard Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Willard Ellis was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.