Active NPI
Dr. Chadwick L. Williams DMD PLLC
- General Practice Dentistry
- Lebanon, TN
National Provider Identifier
1003087958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- TN7866
- Legal business name
- DR. CHADWICK L. WILLIAMS DMD PLLC
- Practice address
- 205 W High St
Suite 104
Lebanon, TN 37087-2264 - Phone
- (615) 444-2069
- Fax
- (615) 444-3706
- NPI assigned
- Mar 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chadwick Lee Williams, DMD
- Title
- Owner/President
- Phone
- (615) 444-2069
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | TN7866 | TN | Primary |
Addresses
Primary practice location
205 W High St
Suite 104
Lebanon, TN 37087-2264
Mailing address
205 W High St
Suite 104
Lebanon, TN 37087-2264
Phone (615) 444-2069
Other names 1
- Smile Gallery
National Provider Directory
National Provider DirectoryLocations
205 W High St
Ste 104
Lebanon, TN 37087
Phone (615) 444-2069
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285113600000",
"number": "1003087958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W HIGH ST",
"address_2": "SUITE 104",
"city": "LEBANON",
"state": "TN",
"postal_code": "370872264",
"telephone_number": "615-444-2069",
"fax_number": "615-444-3706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W HIGH ST",
"address_2": "SUITE 104",
"city": "LEBANON",
"state": "TN",
"postal_code": "370872264",
"telephone_number": "615-444-2069",
"fax_number": "615-444-3706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. CHADWICK L. WILLIAMS DMD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-19",
"last_updated": "2010-09-22",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "CHADWICK",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "615-444-2069",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "TN7866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Smile Gallery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.