Terry A Willis, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2219 Issued in SC

Practice address

127 Hunts Bridge Rd
Greenville, SC 29617-1623

Phone

(864) 246-6471

Fax

(864) 246-9917

NPI assigned

Dec 15, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Phillip D. Gould, DMD, LLC

  • Dental Clinic/Center
  • Greenville, SC
  • NPI 1720617137
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043296791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 HUNTS BRIDGE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296171623",
            "telephone_number": "864-246-6471",
            "fax_number": "864-246-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 HUNTS BRIDGE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296171623",
            "telephone_number": "864-246-6471",
            "fax_number": "864-246-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "TERRY",
        "middle_name": "A",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z22191",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Lila Willingham
• Brenda J Willis, LPN
• Kristen Britt Willis, RN
• Lynne J Willis, M.A., CCC-SLP
• Randi Meghan Willis, LMSW
• Willoughby Dental PA (Willoughby Dental)
• Willow Tree Counseling LLC
• Melanie H. Wills, M.D.
• Nolah Wills, RBT
• Amanda Wilson, HAIR LOSS SPECIALIST

• General Practice Dentistry in Greenville, SC
• Providers in Greenville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.