Organization Active NPI

A.C. Williams, D.D.S., P.a.

  • General Practice Dentistry
  • Dunn, NC
National Provider Identifier
1316965262
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3740 Issued in NC
Legal business name
A.C. WILLIAMS, D.D.S., P.A.
Practice address
601 W Broad St
Suite C
Dunn, NC 28334-4861
Phone
(910) 892-3145
NPI assigned
Jul 18, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Auston Culeigh Williams Jr., DDS
Title
President
Phone
(910) 892-3145

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

601 W Broad St
Ste C
Dunn, NC 28334
Phone (910) 892-3145

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 3740 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

601 W Broad St
Suite C
Dunn, NC 28334-4861

Mailing address

601 W Broad St
Suite C
Dunn, NC 28334-4861
Phone (910) 892-3145

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
89013PTMedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316965262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W BROAD ST",
            "address_2": "SUITE C",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344861",
            "telephone_number": "910-892-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W BROAD ST",
            "address_2": "SUITE C",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344861",
            "telephone_number": "910-892-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.C. WILLIAMS, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AUSTON",
        "authorized_official_middle_name": "CULEIGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-892-3145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013PT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.