Williams Dental Associates North

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8495 Issued in TX

Legal business name

WILLIAMS DENTAL ASSOCIATES NORTH

Doing business as

knox park dental

Practice address

3001 Knox St
Suite 300
Dallas, TX 75205-5584

Phone

(214) 265-7771

Fax

(214) 219-1098

NPI assigned

Oct 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Ivan Williams Sr., DDS

Title

Dentist/Owner

Phone

(214) 265-7771

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• knox park dental Doing business as

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437243631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 462",
            "city": "FERRIS",
            "state": "TX",
            "postal_code": "751250462",
            "telephone_number": "972-842-5707",
            "fax_number": "972-842-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 KNOX ST",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055584",
            "telephone_number": "214-265-7771",
            "fax_number": "214-219-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS DENTAL ASSOCIATES NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "214-265-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "8495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "96DL",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "865491",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "296003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "knox park dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William R. Lumry M.D., P.a.
• William S. Bennett MD Assoc
• William Scott Blessing, MD, PA
• William T Skinner MD PA
• Princess V William-Jarvis, LMSW
• Williams Investments, LLC
• Datoya Unya Williams James
• Kelishia Lenette Williams-Nelson, RN
• Aaron Williams, LPC
• Alexandra Williams

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• 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.