Ronald Wesley Williams, DDS DENTIST

Primary specialty

DentistTaxonomy code 122300000X

License

11713 Issued in MO

Practice address

200 South Kings Highway
Suite 102
St Charles, MO 63301-1637

Phone

(636) 723-3993

Fax

(636) 723-4094

NPI assigned

Nov 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ronald Wesley Williams Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275609026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "ST CHARLES",
            "state": "MO",
            "postal_code": "633020697",
            "telephone_number": "636-723-3993",
            "fax_number": "636-723-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTH KINGS HIGHWAY",
            "address_2": "SUITE 102",
            "city": "ST CHARLES",
            "state": "MO",
            "postal_code": "633011637",
            "telephone_number": "636-723-3993",
            "fax_number": "636-723-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RONALD",
        "middle_name": "WESLEY",
        "credential": "DDS DENTIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "11713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONALD",
            "last_name": "WILLIAMS",
            "middle_name": "WESLEY",
            "credential": "DDS DENTIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lisa M Williams, DPT
• Margo Eileen Williams, LMT
• Marlon Williams, LMT
• Megan Williams, FNP-C
• Morgan Williams
• Shenise Williams
• Timi Savannah Williams, MSBS, MAADCII, MFTS
• Tracy E Williams, RPH
• Drew Matthew Williamson, DMD
• Amanda N Willis

• Dentist in St Charles, MO
• Providers in St Charles, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.