Organization Active NPI

Williams Dental Wellness PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mansfield, TX
National Provider Identifier
1144833286
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
WILLIAMS DENTAL WELLNESS PLLC
Practice address
1560 Highway 287 N Ste 100
Mansfield, TX 76063-8824
Phone
(682) 400-4777
Fax
(682) 518-2808
NPI assigned
Aug 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Dr. Michele Yvette Williams, DMDNPI 1558574061
Title
Owner
Phone
(682) 400-4777

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1560 Highway 287 N Ste 100
Mansfield, TX 76063-8824

Mailing address

1560 Highway 287 N Ste 100
Mansfield, TX 76063-8824
Phone (682) 400-4777

National Provider Directory

National Provider Directory

Locations

1560 Highway 287 N
Ste 100
Mansfield, TX 76063
Phone (817) 473-3010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1144833286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 HIGHWAY 287 N STE 100",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638824",
            "telephone_number": "682-400-4777",
            "fax_number": "682-518-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 HIGHWAY 287 N STE 100",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638824",
            "telephone_number": "682-400-4777",
            "fax_number": "682-518-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS DENTAL WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-400-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.