James W Willis IV DDS PLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JAMES W WILLIS IV DDS PLC

Doing business as

Willis & Associates: Family Dentistry

Practice address

2927 Stuarts Draft Hwy Ste 105
Stuarts Draft, VA 24477-2796

Phone

(540) 414-8423

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 1

Addresses

Other names 2

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

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": "1942917240",
    "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",
            "telephone_number": "304-685-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 STUARTS DRAFT HWY STE 105",
            "city": "STUARTS DRAFT",
            "state": "VA",
            "postal_code": "244772796",
            "telephone_number": "540-414-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W WILLIS IV 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": "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"
        }
    ]
}

• Christy L Horton, M.S., CCC-SLP
• Samuel A. Hostetter, M.D.
• Jerome J Hotchkiss Jr., MD
• David Hulnik, PHARM. D.
• James F Hutchens, DDS
• Kenny Ayo-Deji Johnson, PHARMD
• Heather Keene, M.A., CCC-SLP
• Savanna Kelley, LPC
• Jihoon Kim, DDS
• Toni F Kistner

• Dentist in Stuarts Draft, VA
• Providers in Stuarts Draft, 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.