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Willard Jackson Ellis JR., DDS
General Practice Dentistry in Rocky Mount, North Carolina
NPI 1306965140

Willard Jackson Ellis JR. is a General Practice Dentistry based in Rocky Mount, NC and is specialized in General Practice. Willard Jackson Ellis JR. practices in Rocky Mount, NC and has the professional credentials of DDS. The NPI Number for Willard Jackson Ellis JR. is 1306965140 and holds a License No. 4633 (North Carolina).

The current practice location address for Willard Jackson Ellis JR. is 3136 Sunset Avenue, Rocky Mount, NC and can be reached out via phone at 252-443-9121 and via fax at 252-443-9836.

Location: 3136 Sunset Avenue, Rocky Mount, NC, 27804-3650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306965140
Provider Name
Willard Jackson Ellis JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3136 Sunset Avenue, Rocky Mount, NC, 27804-3650
Phone Number
252-443-9121
Fax Number
252-443-9836
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7992473 05 NC
institution
Provider Business Practice Location Address Details
Address
3136 Sunset Avenue
City
Rocky Mount
State
North Carolina
Zip
27804-3650
Phone Number
252-443-9121
Fax Number
252-443-9836
person
Provider Business Mailing Address Details
Address
3136 Sunset Avenue
City
Rocky Mount
State
North Carolina
Zip
27804-3650
Phone Number
252-443-9121
Fax Number
252-443-9836
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
4633 (North Carolina)
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.
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