Jilada B. Williams, DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019018715 Issued in IL

Legal business name

JILADA B. WILLIAMS, DDS, PC

Doing business as

Sonrisa Dental of Bolingbrook

Practice address

168 N Bolingbrook Dr
Bolingbrook, IL 60440-2350

Phone

(630) 739-7200

Fax

(630) 739-7220

NPI assigned

Mar 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jilada B Williams, DDS

Title

Owner

Phone

(630) 739-7200

Specialties & licenses 1

Addresses

Other names 1

• Sonrisa Dental of Bolingbrook Doing business as

Locations

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1548568181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 539",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604400144",
            "telephone_number": "630-739-7200",
            "fax_number": "630-739-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N BOLINGBROOK DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402350",
            "telephone_number": "630-739-7200",
            "fax_number": "630-739-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILADA B. WILLIAMS, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JILADA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-739-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019018715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonrisa Dental of Bolingbrook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Dental Clinic/Center in Illinois

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