Robert Mack Williams, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3600-11 Issued in MS

Practice address

6819 Washington Ave Ste C
Ocean Springs, MS 39564-2181

Phone

(228) 215-1202

NPI assigned

Jun 27, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• RMW DMD, PA

  dba Southern Magnolia Smiles

  • General Practice Dentistry
  • Ocean Springs, MS
  • NPI 1598282162
  NPD (past)

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1376839431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6819 WASHINGTON AVE STE C",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395642181",
            "telephone_number": "228-215-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6819 WASHINGTON AVE STE C",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395642181",
            "telephone_number": "228-215-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBERT",
        "middle_name": "MACK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3600-11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Jamison Williams
• Heather Williams, WHNP
• Jason A Williams, M.D.
• Jeanette Williams
• Ramona Lanea Williams, NP-C
• Charles J Wilson, M.D.
• Charles Louis Wilson, LMT
• Kyleigh Wilson
• Blake Kent Windham, MD
• Mesha Windham

• General Practice Dentistry in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.