William Oillie Key III, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DN015258 Issued in GA

Practice address

701 Devika Dr Ste 10
Grovetown, GA 30813-5137

Phone

(706) 664-0744

NPI assigned

Aug 4, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Patriots Park Dental

  • General Practice Dentistry
  • Grovetown, GA
  • NPI 1689002610
  NPD (past)

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1487108783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 RIVER LN",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094865",
            "telephone_number": "706-284-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DEVIKA DR STE 10",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308135137",
            "telephone_number": "706-664-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEY",
        "first_name": "WILLIAM",
        "middle_name": "OILLIE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia N. Wheeler, D.M.D, P.C.
• Carolyne Mary Kasprzak
• Amrinder Kaur, LPC
• David Kelly, NP-C
• Kiana Laniece Kelly
• Kids Elite Youth Organization
• Tatyana Alexzandria Rhanay Kitchen, LMSW
• Jill Wheeler Kitchens, MD
• Bo Kleman
• Natalya Kusayeva

• Dentist in Grovetown, GA
• Providers in Grovetown, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.