Organization Active NPI

William Radford Jr DDS PLLC

  • General Practice Dentistry
  • Elkin, NC
National Provider Identifier
1164978227
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8888 Issued in NC
Legal business name
WILLIAM RADFORD JR DDS PLLC
Doing business as
Radford Family Dentistry
Practice address
1550 N Bridge St
Elkin, NC 28621-2202
Phone
(336) 258-2745
Fax
(336) 258-2746
NPI assigned
Aug 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Authorized official

Name
Dr. William Hubert Radford Jr., D.D.S.NPI 1659600872
Title
Owner/Dentist
Phone
(919) 210-7769

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8888 NC Primary

Addresses

Primary practice location

1550 N Bridge St
Elkin, NC 28621-2202

Mailing address

1550 N Bridge St
Elkin, NC 28621-2202
Phone (336) 258-2745

Other names 1

  • Radford Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1550 N Bridge St
Elkin, NC 28621
Phone (336) 258-2031

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": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1164978227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N BRIDGE ST",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212202",
            "telephone_number": "336-258-2745",
            "fax_number": "336-258-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N BRIDGE ST",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212202",
            "telephone_number": "336-258-2745",
            "fax_number": "336-258-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM RADFORD JR DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "RADFORD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HUBERT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "919-210-7769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radford Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.