William S. Kirk Jr DDS PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

4501 Issued in NC

Legal business name

WILLIAM S. KIRK JR DDS PA

Practice address

600 S College St
Suite 1100
Charlotte, NC 28202-1825

Phone

(704) 332-3701

Fax

(704) 335-1835

NPI assigned

Apr 28, 2008

Last updated

May 7, 2008By 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. William S Kirk Jr., DDS

Title

Owner

Phone

(704) 332-3701

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1477728764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S COLLEGE ST",
            "address_2": "SUITE 1100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021825",
            "telephone_number": "704-332-3701",
            "fax_number": "704-335-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S COLLEGE ST",
            "address_2": "SUITE 1100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021825",
            "telephone_number": "704-332-3701",
            "fax_number": "704-335-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM S. KIRK JR DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-332-3701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "4501",
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NC",
            "license": "4501",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "4501",
            "primary": true
        },
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "NC",
            "license": "4501",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8994940",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Haseena Bacchus William, P.A.
• Williams House Human Services Coalition, Inc. (Williams House Transitional Housing Program)
• Latania Sherrell Williams McAdoo, LCMHS-S

• Oral and Maxillofacial Surgery (Dentist) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.