J. Dewey Willis III, D.D.S., P.C., & Assoc.

Primary specialty

DentistTaxonomy code 122300000X

License

0401005083 Issued in VA

Legal business name

J. DEWEY WILLIS III, D.D.S., P.C., & ASSOC.

Practice address

11828 Fishing Point Dr
Suite 100
Newport News, VA 23606-4500

Phone

(757) 873-3407

NPI assigned

Jan 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. J Dewey Willis III, D.D.S.NPI 1992895148

Title

Dentist

Phone

(757) 873-3407

Specialties & licenses 1

Addresses

Tax ID family

J Dewey Willis III DDS PC Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• J Dewey Willis III, D.D.S., P.C. & Assoc

  • Dentist
  • Chesapeake, VA
  • NPI 1821147562
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• J. Dewey Willis III, D.D.S

  • General Practice Dentistry
  • Chesapeake, VA
  • NPI 1992895148
  Authorized official Same address or phone

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336298926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11828 FISHING POINT DR",
            "address_2": "SUITE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064500",
            "telephone_number": "757-873-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11828 FISHING POINT DR",
            "address_2": "SUITE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064500",
            "telephone_number": "757-873-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. DEWEY WILLIS III, D.D.S., P.C., & ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "DEWEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-873-3407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401005083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail L Ivanovich, M.S. ED, CF-SLP
• Nicole Aileen Ivie
• Ivyrehab Sept, LLC (Southeastern Physical Therapy)
• Ivyrehab Sept, LLC (Southeastern Physical Therapy)
• Wilson Iyinbor, PHARM.D
• J. F. Foretich, Jr., D.D.S. (a division of Atlantic Dental Care)
• Annabel Grace Jackson, PA-C
• Cara Marie Jackson, D.O.
• Christian Jackson, SLP
• Edward Jackson

• Dentist in Newport News, VA
• Providers in Newport News, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.