James W Willis III DDS PLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JAMES W WILLIS III DDS PLC

Doing business as

Willis & Associates: Family Dentistry

Practice address

21 Scenic Hwy
Churchville, VA 24421-2439

Phone

(540) 337-6004

NPI assigned

Nov 4, 2022

Last updated

Nov 4, 2022By 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

James Willis, DDS

Title

Ceo

Phone

(304) 685-5980

Specialties & licenses 2

Addresses

Other names 3

• Willis & Associates: Family Dentistry Doing business as
• Willis Family Dentistry Other name
• Willis and Associates Other name

Locations

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1407563703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6948 WELBOURNE LN",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229323346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SCENIC HWY",
            "city": "CHURCHVILLE",
            "state": "VA",
            "postal_code": "244212439",
            "telephone_number": "540-337-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W WILLIS III DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-685-5980",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willis & Associates: Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Willis Family Dentistry",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Willis and Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Megan Sensabaugh Ady, PA-C
• Madeleine Wirth Cromer, RD
• Sloan W Hall
• Harry John Lee, R.PH.
• George M Tran, MD
• West Augusta Family Practice
• West Augusta Pharmacy

• Dentist in Churchville, VA
• Providers in Churchville, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.