Willard Jackson Ellis, DDS
General Practice Dentistry · Rocky Mount, NC
Willard Jackson Ellis, DDS is a general practice dentistry with a practice address in Rocky Mount, North Carolina, and NPI 1306965140, issued on Mar 29, 2007. Check the license (North Carolina 4633, as entered in NPPES) with the North Carolina board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Willard Jackson Ellis
- Credential
- DDS
- Primary taxonomy
- General Practice Dentistry 1223G0001X
- License number
- 4633 NC
Self-reported in NPPES; status is on the state search - Practice location
- 3136 Sunset Avenue, Rocky Mount, NC 27804
- Phone
- (252) 443-9121
- Enumerated
- Mar 29, 2007
- Record last updated
- Mar 7, 2023
- Fax
- (252) 443-9836
- Medicaid ID
- 7992473 NC
- Entity
- Type 1 · individual
8 nearest general practice dentistry records → All 3,856 in North Carolina → Look up another NPI →
Verify Willard Jackson Ellis in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license 4633Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Willard Jackson Ellis among 3,856 general practice dentistry records in North Carolina
Willard Jackson Ellis, DDS is one of 3,856 general practice dentistry records with a practice address in North Carolina. 66% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2007, is newer than 35% of them.
- NPI issued2007 · 35% of these records are older, 46% newer
- In a Medicare fileNo · 66% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2023 · 66% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
28 general practice dentistry records list a practice address in Rocky Mount
They are 28 of the 954 NPPES records with a practice address in Rocky Mount, and 3,856 general practice dentistry records in North Carolina. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 3,856 in North Carolina → Every provider in Rocky Mount → General Practice Dentistry nationwide →
The 8 general practice dentistry records with the nearest ZIP codes
- N Blaylock, DDSRocky Mount, NC 278041972512028
- Tiffiney Harper, D.D.SRocky Mount, NC 278041285648071
- Richard Hunt, DDSRocky Mount, NC 278041043430713
- Amy Hunt, DDSRocky Mount, NC 278041801016589
- Edward Jernigan, DDSRocky Mount, NC 278041174550339
- John Jernigan, DDSRocky Mount, NC 278041790126761
- Jinesh Patel, D.M.D.Rocky Mount, NC 278041992900682
- Mary Richardson, DDSRocky Mt, NC 278041790803161
Common questions
What is Willard Jackson Ellis, DDS's NPI number?
Willard Jackson Ellis, DDS's National Provider Identifier (NPI) is 1306965140, issued on Mar 29, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Willard Jackson Ellis, DDS located?
The NPPES record lists a practice address at 3136 Sunset Avenue, Rocky Mount, NC, 27804. Phone: (252) 443-9121. Providers update this record themselves, so call before visiting.
How can I verify Willard Jackson Ellis, DDS's license?
NPPES lists North Carolina license number 4633, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.