NPIMap

Organization Active NPI

DRS Sarsha Williams Dandino & Assoc LTD

  • General Practice Dentistry
  • Waukegan, IL
National Provider Identifier
1245343029
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DRS SARSHA WILLIAMS DANDINO & ASSOC LTD
Practice address
2504 Washington St
Suite 500
Waukegan, IL 60085-4960
Phone
(847) 336-0700
Fax
(847) 336-5773
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Georgia A Williams, DDSNPI 1972736247
Title
President Dentist Owner
Phone
(847) 336-0700

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 IL Primary

Addresses

Primary practice location

2504 Washington St
Suite 500
Waukegan, IL 60085-4960

Mailing address

2504 Washington St
Suite 500
Waukegan, IL 60085-4960
Phone (847) 336-0700

Other names 1

  • Drs Janks Mitchell Sarsha Williams & Assoc Ltd Former legal business name

National Provider Directory

National Provider Directory

Locations

2504 Washington St
Ste 500
Waukegan, IL 60085
Phone (847) 336-0700

Practitioners & affiliated clinicians

Practitioners 2

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": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1245343029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 WASHINGTON ST",
            "address_2": "SUITE 500",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854960",
            "telephone_number": "847-336-0700",
            "fax_number": "847-336-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 WASHINGTON ST",
            "address_2": "SUITE 500",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854960",
            "telephone_number": "847-336-0700",
            "fax_number": "847-336-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS SARSHA WILLIAMS DANDINO & ASSOC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT DENTIST OWNER",
        "authorized_official_telephone_number": "847-336-0700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Janks Mitchell Sarsha Williams & Assoc Ltd",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Waukegan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.