Williams Valley Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-014034-L Issued in PA

Legal business name

WILLIAMS VALLEY DENTAL GROUP

Practice address

111 S Water St
Williamstown, PA 17098-1530

Phone

(717) 901-7045

Fax

(717) 901-7050

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Victor J Hajjar, DDS

Title

President

Phone

(717) 901-7045

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104954460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S WATER ST",
            "city": "WILLIAMSTOWN",
            "state": "PA",
            "postal_code": "170981530",
            "telephone_number": "717-901-7045",
            "fax_number": "717-901-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S WATER ST",
            "city": "WILLIAMSTOWN",
            "state": "PA",
            "postal_code": "170981530",
            "telephone_number": "717-901-7045",
            "fax_number": "717-901-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS VALLEY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAJJAR",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-901-7045",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-014034-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Aujhae Hutson
• Indiju2Dental
• Crystal Lynn Kimmel, LMFT
• Natasha Sheila Rosler, DMD
• Rachel Elizabeth Ulsh, COTA/L
• Williamstown Area Emergency Medical Services Inc
• Williamstown Chiropractic Center
• Williamstown Counseling
• Williamstown Counseling Center LLC

• General Practice Dentistry in Williamstown, PA
• Providers in Williamstown, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.