Colin E Williams DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN013658 Issued in GA

Legal business name

COLIN E WILLIAMS DDS PC

Doing business as

Stockbridge Family Dental

Practice address

153 N Park TRL
Stockbridge, GA 30281-7373

Phone

(678) 289-5436

Fax

(678) 289-5438

NPI assigned

Jan 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Colin E Williams, DDS

Title

Dentist

Phone

(678) 289-5436

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stockbridge Family Dental Doing business as

Locations

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1013211887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 BABBLING BROOK DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302521619",
            "telephone_number": "678-289-5436",
            "fax_number": "678-289-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 N PARK TRL",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817373",
            "telephone_number": "678-289-5436",
            "fax_number": "678-289-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLIN E WILLIAMS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "678-289-5436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN013658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "663050454A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stockbridge Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arlesuah Y Coleman
• Ivana Leslie Simpson Coleman, M.D.
• Jeffrey Scott Coleman, DDS
• Kristen Coleman
• Coley Reliable Care
• Latonia Melissa Collier, NP
• Aurelia Collins
• James Richard Collins, DMD
• Jayla Deshay Collins
• Myla Collins

• Dental Clinic/Center in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.