IndividualActive
Willard Ellis, DDS
NPI 1306965140 · General Practice Dentistry · Rocky Mount, NC
Willard Ellis, DDS is a General Practice Dentistry provider in Rocky Mount, NC (NPI 1306965140).
Provider details
- NPI number
- 1306965140
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 4633 (NC)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3136 Sunset Avenue
Rocky Mount, NC 27804-3650
Phone: (252) 443-9121
Fax: (252) 443-9836
Street-level locationGet directions
Mailing address
3136 Sunset Avenue
Rocky Mount, NC 27804-3650
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2023-03-07
Frequently asked questions
- What is Willard Ellis's NPI number?
- Willard Ellis's National Provider Identifier (NPI) is 1306965140, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Willard Ellis's specialty?
- Willard Ellis is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Willard Ellis located?
- Willard Ellis's practice location on file with NPPES is 3136 Sunset Avenue, Rocky Mount, NC 27804-3650.
- What is Willard Ellis's phone number?
- The practice phone number listed in the NPPES registry for Willard Ellis is (252) 443-9121.
- Is Willard Ellis's NPI active?
- Yes — Willard Ellis's NPI (1306965140) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.