William Cannon Family Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24247 Issued in TX

Legal business name

WILLIAM CANNON FAMILY DENTAL PC

Practice address

500 W William Cannon Dr Ste 438a
Austin, TX 78745-5853

Phone

(512) 326-3473

NPI assigned

Mar 20, 2013

Organization subpart

No

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

Authorized official

Name

Asha Patel

Title

Owner

Phone

(512) 326-3473

Specialties & licenses 1

Addresses

Other names 1

• KIDZ DENTAL Doing business as

Locations

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1164764882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W WILLIAM CANNON DR STE 438A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455853",
            "telephone_number": "512-326-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W WILLIAM CANNON DR STE 438A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455853",
            "telephone_number": "512-326-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM CANNON FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-326-3473"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDZ DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Greer Willcox, M.D.
• Katherine Willcutts
• Kendel Wille, PA
• George Willeford III, M.D.
• William C Nemeth MD, PA
• William D Defoyd DC PLLC
• William G Robertson MD PA
• William M. Davis, M.D., P.a.
• William Moran, M.D., P.a.
• William R. Frazier

• General Practice Dentistry in Austin, TX
• Providers in Austin, 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 Mar 21, 2013; 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.