Organization Active NPI

Williams Oral and Maxillofacial Surgery, Prof. L.L.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Rapid City, SD
National Provider Identifier
1407091424
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
WILLIAMS ORAL AND MAXILLOFACIAL SURGERY, PROF. L.L.C.
Practice address
330 E Stumer Rd
Rapid City, SD 57701-6406
Phone
(605) 348-3400
Fax
(605) 348-1626
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Dr. Gregory P Williams, DDS
Title
President
Phone
(605) 348-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

330 E Stumer Rd
Rapid City, SD 57701-6406

Mailing address

330 E Stumer Rd
Rapid City, SD 57701-6406
Phone (605) 348-3400

National Provider Directory

National Provider Directory

Locations

330 E Stumer Rd
Rapid City, SD 57701
Phone (605) 348-3400

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1407091424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E STUMER RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016406",
            "telephone_number": "605-348-3400",
            "fax_number": "605-348-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E STUMER RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016406",
            "telephone_number": "605-348-3400",
            "fax_number": "605-348-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS ORAL AND MAXILLOFACIAL SURGERY, PROF. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-348-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.