Willard Jackson Ellis Jr, DDS - Dentist in Rocky Mount, NC

Willard Jackson Ellis Jr, DDS is a Dentist - General Practice based in Rocky Mount, North Carolina. Willard Jackson Ellis Jr is licensed to practice in North Carolina (license number 4633) and his current practice location is 3136 Sunset Avenue, Rocky Mount, North Carolina. He can be reached at his office (for appointments etc.) via phone at (252) 443-9121.

NPI number for Willard Jackson Ellis Jr is 1306965140 and his current mailing address is 3136 Sunset Avenue, Rocky Mount, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306965140.

Contact Information

Willard Jackson Ellis Jr, DDS
3136 Sunset Avenue,
Rocky Mount, NC 27804-3650
(252) 443-9121
(252) 443-9836



Healthcare Provider's Profile

Full NameWillard Jackson Ellis Jr
GenderMale
SpecialityDentist - General Practice
Location3136 Sunset Avenue, Rocky Mount, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306965140
  • Provider Enumeration Date: 03/29/2007
  • Last Update Date: 03/07/2023

Medical Identifiers

Medical identifiers for Willard Jackson Ellis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306965140NPI-NPPES
7992473MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 4633 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Willard Jackson Ellis Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Willard Jackson Ellis Jr, DDS
3136 Sunset Avenue,
Rocky Mount, NC 27804-3650

Ph: (252) 443-9121
Willard Jackson Ellis Jr, DDS
3136 Sunset Avenue,
Rocky Mount, NC 27804-3650

Ph: (252) 443-9121

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› Verified 4 days ago


Dentist in Rocky Mount, NC

Dr. Hanna Marie Zombek, D.M.D
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 165 Kandemor Ln, Rocky Mount, NC 27804
Phone: 252-443-6443    Fax: 252-443-0043
Richard F Hunt Iii, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 111 Candlewood Rd, Rocky Mount, NC 27804
Phone: 252-443-2328    Fax: 252-443-7440
Brooke Burnette Johnson, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3769 Sunset Ave, Rocky Mount, NC 27804
Phone: 252-443-0048    
Adam Saunders, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 901 N Winstead Ave, Suite 110, Rocky Mount, NC 27804
Phone: 252-443-6044    
Dr. John Max Crestetto, DDS,MD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 901 N Winstead Ave, Suite 130, Rocky Mount, NC 27804
Phone: 252-443-7331    Fax: 252-937-2381
Dr. Barry Daniel Belton, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1512 S Winstead Ave, Rocky Mount, NC 27803
Phone: 252-937-7878    Fax: 252-937-6086
Dr. Joseph Edward Campbell, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 300 Fountain School Rd, Rocky Mount, NC 27801
Phone: 252-442-9712    Fax: 252-442-2686

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