Jeff Williams, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS2722 Issued in TN

Practice address

3071 Kirby Whitten Rd
Bartlett, TN 38134-2822

Phone

(901) 382-1564

Fax

(901) 382-0657

NPI assigned

Mar 23, 2010

Last updated

Mar 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bartlett Pediatric Dentistry

  • Pediatric Dentistry
  • Bartlett, TN
  • NPI 1952425282
  NPD (past)
• Timothy P. Bakelaar, D.M.D, PLLC

  dba Bartlett Pediatric Dentistry and Orthodontics

  • Pediatric Dentistry
  • Bartlett, TN
  • NPI 1043534829
  NPD (past)

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1124342910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 KIRBY WHITTEN RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342822",
            "telephone_number": "901-382-1564",
            "fax_number": "901-382-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 KIRBY WHITTEN RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342822",
            "telephone_number": "901-382-1564",
            "fax_number": "901-382-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEFF",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "DS2722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Williams 1Stop Laboratory Services, LLC
• Williams Psychiatric Services, LLC
• Ben Richard Williams, DDS
• Deidra Rachelle Williams, LPN
• Ginger Marie Williams, CRNA, PMHNP-BC
• Latonya Yvonne Williams
• Linda Fay Williams, APN
• Sharlene Williams, M.S. / LPC
• Tynisha Williams, RN
• Darthvader Devon Williamson, RSA

• Pediatric Dentistry in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.