Implants, Periodontics & Facial Rejuvenation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN012810 Issued in FL

Legal business name

IMPLANTS, PERIODONTICS & FACIAL REJUVENATION

Practice address

2346 Creel LN Ste 101
Wesley Chapel, FL 33544-4623

Phone

(813) 299-3867

NPI assigned

Feb 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Todd Merrell Williams, DMD, MS

Title

Ceo

Phone

(813) 299-3867

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1104198282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2346 CREEL LANE #101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "33544",
            "telephone_number": "813-299-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2346 CREEL LN STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444623",
            "telephone_number": "813-299-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPLANTS, PERIODONTICS & FACIAL REJUVENATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "MERRELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-299-3867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN012810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Omar A Inaty, DC
• Incudoctors LLC

• Dental Clinic/Center in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.