Ross Michael Williams, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6752 Issued in OK

Practice address

1510 E Lincoln Rd
Idabel, OK 74745-7349

Phone

(580) 286-3051

NPI assigned

Jul 2, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gary L Dennington DDS PC

  • General Practice Dentistry
  • Idabel, OK
  • NPI 1407983810
  NPD (past)

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1194108506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457349",
            "telephone_number": "580-286-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457349",
            "telephone_number": "580-286-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROSS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6752",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine White, M.ED, LPC
• Krissika Faith Whittaker, LMSW
• Dennis Dale Whitten, MACJ, LADC, ICAADC
• William J Herron D.O P.C.
• Angela Williams-Smith
• Tammy Michelle Williams, PA-C
• Kristi C. Williamson, RDH
• Magan Marie Willingham, LPC
• Lanette Wood
• Rachael Woods

• General Practice Dentistry in Idabel, OK
• Providers in Idabel, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.