T Merrell Williams, DMD, Ms, PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN 12810 Issued in FL

Legal business name

T MERRELL WILLIAMS, DMD, MS, PA

Practice address

4505 N Armenia Ave Ste 101
Tampa, FL 33603-2746

Phone

(813) 354-8707

Fax

(813) 354-9230

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. T. Merrell Williams, DMD, MS

Title

President

Phone

(813) 354-8707

Specialties & licenses 1

Addresses

Tax ID family

T Merrell Williams DMD Ms PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• T Merrell Williams DMD Ms PA

  • Periodontics
  • Tampa, FL
  • NPI 1073586228
  NPD tax ID

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457410946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 N ARMENIA AVE STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032746",
            "telephone_number": "813-354-8707",
            "fax_number": "813-354-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 N ARMENIA AVE STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032746",
            "telephone_number": "813-354-8707",
            "fax_number": "813-354-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T MERRELL WILLIAMS, DMD, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "T. MERRELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-354-8707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN 12810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Tampa, FL
• Providers in Tampa, FL by specialty
• Periodontics in Florida

• 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.