Shane Williams DMD PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

9422 Issued in TN

Legal business name

SHANE WILLIAMS DMD PLLC

Practice address

2400 Patterson St
Ste 316
Nashville, TN 37203-1562

Phone

(615) 327-3534

Fax

(615) 327-3552

NPI assigned

Jun 19, 2012

Organization subpart

No

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

Authorized official

Name

Lisa Keough

Title

Credentialing Specialist

Phone

(405) 848-7974

Specialties & licenses 1

Addresses

Other names 1

• Nashville Oral Facial Surgery Doing business as

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1144583725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26485",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731260485",
            "telephone_number": "405-848-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST",
            "address_2": "STE 316",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031562",
            "telephone_number": "615-327-3534",
            "fax_number": "615-327-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANE WILLIAMS DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "KEOUGH",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "405-848-7974"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "9422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nashville Oral Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Shampain
• Danial Shams, M.D.
• Fatima Shamsuddin
• Haleema Shamsuddin
• Peter Lawrence Shanahan, M.D.
• Tassel Faith Shanebrook, PHD, LMFT
• Therese Colette Shank, APRN
• Angela Marie Shankle, MS, LADAC II
• Steven Shankle, M.D.
• Ebonique Rochelle Shanks, CNM

• Oral and Maxillofacial Surgery (Dentist) in Nashville, TN
• Providers in Nashville, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.