# JAMES W WILLIS DDS PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crozet Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972210268
- **Authorized official:** JAMES WILLIS DDS (CEO)
- **Authorized official phone:** (304) 685-5980

## Contact information

- **Practice address:** 5690 THREE NOTCH D RD STE 100, CROZET, VA 22932-3173
- **Practice address phone:** (434) 823-4080
- **Mailing address:** 6948 WELBOURNE LN, CROZET, VA 22932-3346
- **Mailing address phone:** (304) 685-5980

## 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