Dallas Emergency Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8495 Issued in TX

Legal business name

DALLAS EMERGENCY DENTAL

Practice address

3001 Knox Ste. # 300 B
Dallas, TX 75205

Phone

(214) 219-1159

Fax

(972) 576-3664

NPI assigned

Nov 16, 2012

Last updated

Nov 16, 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. Charles Ivan Williams Sr., D.D.S.

Title

Owner

Phone

(214) 219-1159

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1134463961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 KNOX ST. BOX 311",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75205",
            "telephone_number": "214-219-1159",
            "fax_number": "972-576-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 KNOX STE. # 300 B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75205",
            "telephone_number": "214-219-1159",
            "fax_number": "972-576-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS EMERGENCY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-219-1159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "8495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas Diagnostics & Imaging LLC
• Dallas DME,LLC
• Dallas Doctors Pain Clinic
• Dallas Doctors, PA (La Plaza Rehab)
• Dallas Ear, Nose & Throat Center PA
• Dallas Emergency Physicians
• Dallas Emergency Physicians PLLC
• Dallas Endodontics, P.a.
• Dallas Endoscopy Center, LTD
• Dallas Endovascular PLLC (Texas Endovascular Associates)

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, 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 Nov 16, 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.