Individual provider · Type 1 NPI

Willard Jackson Ellis Jr., DDS

General Practice Dentistry · Rocky Mount, NC

NPI number 1306965140 Active

About NPI 1306965140

Willard Jackson Ellis Jr., DDS's National Provider Identifier is 1306965140, issued on Mar 29, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rocky Mount, NC. The record was last updated on Mar 7, 2023.