Edward D Williams, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS17842L Issued in PA

Practice address

7700 Crittenden St
Unit 33a
Philadelphia, PA 19118

Phone

(215) 242-3141

Fax

(215) 242-4212

NPI assigned

Mar 13, 2007

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1548393572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 CRITTENDEN ST",
            "address_2": "UNIT 33A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191184421",
            "telephone_number": "215-242-3141",
            "fax_number": "215-242-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 CRITTENDEN ST",
            "address_2": "UNIT 33A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19118",
            "telephone_number": "215-242-3141",
            "fax_number": "215-242-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EDWARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS17842L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daryl Maurice Williams
• David Williams
• David McKinley Williams Jr.
• Demetrius Williams
• Dominique Williams
• Edward Lamont Williams, M.S.W./L.C.S.W.
• Elizabeth Williams, MS.ED.; M.PHIL.; LAC
• Emily L Williams, NP
• Emmanuel Williams, PHARM D.
• Eric Williams, MD

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.