Organization Active NPI

Williams Dental Group PC

  • General Practice Dentistry
  • Temple Hills, MD
National Provider Identifier
1487726758
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7779 Issued in MD
Legal business name
WILLIAMS DENTAL GROUP PC
Practice address
4302 St Barnabas Rd
Suites C & F
Temple Hills, MD 20748
Phone
(301) 630-5502
Fax
(301) 630-0287
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Curtis Levy Williams Sr., DDS
Title
President Co Owner
Phone
(301) 630-5502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7779 MD Primary

Addresses

Primary practice location

4302 St Barnabas Rd
Suites C & F
Temple Hills, MD 20748

Mailing address

4302 St Barnabas Rd
Suites C & F
Temple Hills, MD 20748
Phone (301) 630-5502

Other names 1

  • Professional Corporation Other name

National Provider Directory

National Provider Directory

Locations

4302 Saint Barnabas Rd
Ste C
Temple Hills, MD 20748
Phone (301) 630-5502

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1487726758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ST BARNABAS RD",
            "address_2": "SUITES C & F",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "20748",
            "telephone_number": "301-630-5502",
            "fax_number": "301-630-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ST BARNABAS RD",
            "address_2": "SUITES C & F",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "20748",
            "telephone_number": "301-630-5502",
            "fax_number": "301-630-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "LEVY",
        "authorized_official_title_or_position": "PRESIDENT CO OWNER",
        "authorized_official_telephone_number": "301-630-5502",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "7779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.