Sean Theron Williams, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN22573 Issued in FL

Practice address

13576 NW 2ND LN Ste 30
Newberry, FL 32669-3736

Phone

(352) 354-3601

NPI assigned

Jun 20, 2017

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

• Dr. Sean Williams Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jonesville Dentistry, PLLC

  • Dental Clinic/Center
  • Newberry, FL
  • NPI 1548889926
  NPD Authorized official

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1306376512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13576 NW 2ND LN STE 30",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326693736",
            "telephone_number": "352-354-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13576 NW 2ND LN STE 30",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326693736",
            "telephone_number": "352-354-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SEAN",
        "middle_name": "THERON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEAN",
            "last_name": "WILLIAMS",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sydney Michelle Watkins, RDN, LDN
• Wecare Providers LLC
• Emily Weeks
• Ashley Roequel Welcome
• Karianne Wilkins, M.A., CCC-SLP
• Tabitha Wilson, MSW
• Tina Wilson, LMT, CLT
• Alexandra Wooten
• Your Medwaiver Provider Inc
• Sarah Jane Zuverino, L.M.T.

• General Practice Dentistry in Newberry, FL
• Providers in Newberry, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.