Antonia R Williams, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012676 Issued in GA

Practice address

435 Arrowhead Blvd
Jonesboro, GA 30236-1219

Phone

(404) 389-1950

Fax

(678) 444-4152

NPI assigned

Feb 18, 2006

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1114992724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SPRING STREET",
            "address_2": "STE 600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092870",
            "telephone_number": "404-389-1950",
            "fax_number": "678-444-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARROWHEAD BLVD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361219",
            "telephone_number": "404-389-1950",
            "fax_number": "678-444-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANTONIA",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-18",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "616035323A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9180173",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whisby Health LLLP
• Quenderrion Marquez White
• Laura Catherine Wiese, DNP, MPH, RN, CNM
• Gabriella Andrea Wilkinson, RBT
• Allaenna Williams, M.ED.
• Chenell Denise Williams
• Cyti V Williams
• Daimeyon Osiris Williams, DC, MSC, MBA
• Ericka L Williams, LPC
• Ian Williams, DMD

• General Practice Dentistry in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.