Carl F Williams III

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9788 Issued in GA

Legal business name

CARL F WILLIAMS III

Practice address

297 Medical CT
Oglethorpe, GA 31068-0931

Phone

(478) 472-2325

Fax

(478) 472-2325

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Pat Dominey

Title

Business Manager

Phone

(478) 472-2525

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Sebastian Cimino III, DDS

  • Pediatric Dentistry
  • Oglethorpe, GA
  • NPI 1235224817
  NPD (past)
• Carl Felton Williams III, DDS

  • Dentist
  • Oglethorpe, GA
  • NPI 1629173646
  NPD (past)

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1245401199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 MEDICAL CT.",
            "city": "OGLETHORPE",
            "state": "GA",
            "postal_code": "310680931",
            "telephone_number": "478-472-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 MEDICAL CT",
            "city": "OGLETHORPE",
            "state": "GA",
            "postal_code": "310680931",
            "telephone_number": "478-472-2325",
            "fax_number": "478-472-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL F WILLIAMS III",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DOMINEY",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "478-472-2525",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "39572",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL SERVICES",
            "identifier": "168051",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Beery
• Stephanie Burris, NP-C
• Careconnect Health, Inc.
• Richard K Chase, D.O.
• Peter Sebastian Cimino III, DDS
• Diamond K Clay
• Hugh Glenn Cross, RPH
• Evolvinghomecarellc

• General Practice Dentistry in Oglethorpe, GA
• Providers in Oglethorpe, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.