Organization Active NPI

Woodlands Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • The Woodlands, TX
National Provider Identifier
1114026796
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
16550 Issued in TX
Legal business name
WOODLANDS ORAL & MAXILLOFACIAL SURGERY
Practice address
4850 W Panther Creek Dr
Suite 106
The Woodlands, TX 77381
Phone
(281) 362-7170
Fax
(281) 362-7178
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Dr. Kurtis Lloyd Williams, DDS
Title
Owner Doctor
Phone
(281) 362-7170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 16550 TX Primary

Addresses

Primary practice location

4850 W Panther Creek Dr
Suite 106
The Woodlands, TX 77381

Mailing address

4850 W Panther Creek Dr
Suite 106
The Woodlands, TX 77381
Phone (281) 362-7170

National Provider Directory

National Provider Directory

Locations

4850 W Panther Creek Dr
Ste 106
The Woodlands, TX 77381
Phone (281) 362-7170

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1114026796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 W PANTHER CREEK DR",
            "address_2": "SUITE 106",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77381",
            "telephone_number": "281-362-7170",
            "fax_number": "281-362-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 W PANTHER CREEK DR",
            "address_2": "SUITE 106",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77381",
            "telephone_number": "281-362-7170",
            "fax_number": "281-362-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KURTIS",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "281-362-7170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "16550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.