James D Williams, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

012419 Issued in MI

Practice address

6401 Citation Dr
Ste B
Clarkston, MI 48346-2992

Phone

(248) 625-2011

Fax

(248) 625-9728

NPI assigned

Jun 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1003812397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 CITATION DR",
            "address_2": "STE B",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462992",
            "telephone_number": "248-625-2011",
            "fax_number": "248-625-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 CITATION DR",
            "address_2": "STE B",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462992",
            "telephone_number": "248-625-2011",
            "fax_number": "248-625-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JAMES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "012419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12160687",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MEDICAL PRO #",
            "identifier": "JW012419",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wildflower Wellness and Holistic Counseling LLC
• Deann Wiley
• Heather Lynn Wiley, MSW
• Rachael Wilkerson
• Wilkinson Eye Center
• Shawnita Williams
• Therese M Williams, OT/L, CHT
• Heather Sue Wills, D.C.
• Ashley Rae Wilson, LPC
• Courtney Amber Wilson, PA-C

• Oral and Maxillofacial Surgery (Dentist) in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.