# JAMES W WILLIS III DDS PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Willis and Associates, Willis & Associates: Family Dentistry, Willis Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407563703
- **Authorized official:** JAMES WILLIS DDS (CEO)
- **Authorized official phone:** (304) 685-5980

## Contact information

- **Practice address:** 21 SCENIC HWY, CHURCHVILLE, VA 24421-2439
- **Practice address phone:** (540) 337-6004
- **Mailing address:** 6948 WELBOURNE LN, CROZET, VA 22932-3346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/04/2022
- **Last updated:** 11/04/2022