Willard William Wentz Jr., DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

0438000171 Issued in VA

Practice address

501 Rison St
Stratford Medical Plaza
Danville, VA 24541-2458

Phone

(434) 792-5134

Fax

(434) 791-2919

NPI assigned

Dec 22, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 5, 2016 through Apr 5, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770569691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 RISON ST",
            "address_2": "STRATFORD MEDICAL PLAZA",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412458",
            "telephone_number": "434-792-5134",
            "fax_number": "434-791-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 RISON ST",
            "address_2": "STRATFORD MEDICAL PLAZA",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412458",
            "telephone_number": "434-792-5134",
            "fax_number": "434-791-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTZ",
        "first_name": "WILLARD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0438000171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID",
            "identifier": "050010",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAID",
            "identifier": "899-9122",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Childress Weaver, AGNP
• Tanner Douglas Weaver, DO
• Elizabeth L Wells, NP
• Kelly Nicole Wells, FNP-C
• Richard Hansel Wentz, LPC
• Darlene Wheeler
• Denise Grace White, COTA/L
• Jonathan White, DNP, PMHNP-BC
• Nicholas Tanner White, PHARMD
• Thomas Joseph White, DDS

• Oral and Maxillofacial Surgery (Dentist) in Danville, VA
• Providers in Danville, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.