Frederick a. Williams,DMD , PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FREDERICK A. WILLIAMS,DMD , PA

Practice address

343 Whiteville Road
Shallotte, NC 28470

Phone

(910) 754-6718

Fax

(910) 754-4446

NPI assigned

Mar 20, 2008

Last updated

Aug 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frederick Allen Williams, DMDNPI 1760505903

Title

Doctor

Phone

(910) 754-6718

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frederick Allen Williams

  • Dentist
  • Shallotte, NC
  • NPI 1760505903
  NPD (past) Authorized official

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1215108972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284590607",
            "telephone_number": "910-754-6718",
            "fax_number": "910-754-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 WHITEVILLE ROAD",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "28470",
            "telephone_number": "910-754-6718",
            "fax_number": "910-754-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK A. WILLIAMS,DMD , PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "910-754-6718",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8995462",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Hyde Foster
• Foundation Health Systems LLC (Novant Health Rehabilitation Center)
• Pamela S Franco, PT
• Kathleen Franzen, PT, DPT
• Joshua Frazer
• Nicole Marie French, FNP-BC
• Jennifer Gambino, DC
• Scott Christopher Ganucheau, MSPAS, PA-C, ATC
• Heather Garavelli, PT
• Tessa Jean Gardner, LCSWA, LCASA

• General Practice Dentistry in Shallotte, NC
• Providers in Shallotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.