NPIMap

Organization Active NPI

Robert L Williamson III DDS PA

Doing business as Raleigh Comprehensive & Cosmetic Dentistry

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1144338799
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2749 Issued in NC
Legal business name
ROBERT L WILLIAMSON III DDS PA
Doing business as
Raleigh Comprehensive & Cosmetic Dentistry
Practice address
20 Enterprise Street
Suite 1
Raleigh, NC 27607
Phone
(919) 828-3775
Fax
(919) 828-4937
NPI assigned
Aug 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert L Williamson III, DDSNPI 1376556787
Title
Owner
Phone
(919) 828-3775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 7038 NC
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2749 NC Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 8035 NC

Addresses

Primary practice location

20 Enterprise Street
Suite 1
Raleigh, NC 27607

Mailing address

PO Box 10401
Raleigh, NC 27605
Phone (919) 828-3775

Other names 1

  • Raleigh Comprehensive & Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Princeton Comprehensive Cosmetic Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20 Enterprise St
Ste 1
Raleigh, NC 27607
Phone (919) 828-3775

Practitioners & affiliated clinicians

Practitioners 3

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": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144338799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10401",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27605",
            "telephone_number": "919-828-3775",
            "fax_number": "919-828-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ENTERPRISE STREET",
            "address_2": "SUITE 1",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27607",
            "telephone_number": "919-828-3775",
            "fax_number": "919-828-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L WILLIAMSON III DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-828-3775",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7038",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "2749",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raleigh Comprehensive & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.