Kerry B. Williams D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13709 Issued in TX

Legal business name

KERRY B. WILLIAMS D.D.S.

Practice address

1006 Hobbs Hwy
Seminole, TX 79360-3322

Phone

(432) 758-9839

Fax

(432) 758-2668

NPI assigned

Aug 13, 2012

Last updated

Aug 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kerry Brent Williams, D.D.S.NPI 1255344990

Title

Dentist/Owner

Phone

(432) 758-9839

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Kerry Brent Williams, DDS

  • General Practice Dentistry
  • Seminole, TX
  • NPI 1255344990
  NPD (past) Authorized official
• Amy Nicole Williams, D.D.S.

  • General Practice Dentistry
  • Seminole, TX
  • NPI 1619222304
  NPD (past)

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1124375829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 HOBBS HWY",
            "city": "SEMINOLE",
            "state": "TX",
            "postal_code": "793603322",
            "telephone_number": "432-758-9839",
            "fax_number": "432-758-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 HOBBS HWY",
            "city": "SEMINOLE",
            "state": "TX",
            "postal_code": "793603322",
            "telephone_number": "432-758-9839",
            "fax_number": "432-758-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY B. WILLIAMS D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "432-758-9839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgar Alexander Hernandez Parra, D.M.D.
• Otilia Jimenez, RN
• Misty L. Johnson, D.C.
• JP Letellier MD PA
• Kathy Moore (Moore Rehabilitation Services)
• Pete Klassen, D.C.
• Lance Martin, MD PA
• Mark B Layman, M.D.
• Eknath Vinayak Lele, MD
• Jean-Pierre Letellier, MD

• General Practice Dentistry in Seminole, TX
• Providers in Seminole, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.