Organization Active NPI

Dr. Chadwick L. Williams DMD PLLC

  • General Practice Dentistry
  • Lebanon, TN
National Provider Identifier
1003087958
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
TN7866 Issued in TN
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

Updated by the provider on Sep 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Chadwick Lee Williams, DMDNPI 1831188507
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.