Anjali Williamson, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN014231 Issued in GA

Practice address

5255 Stilesboro Rd NW
Suite 110
Kennesaw, GA 30152-7737

Phone

(770) 499-2152

NPI assigned

Oct 20, 2011

Last updated

Oct 20, 2011By the provider in NPPES

Sex

Female

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chandler & Associates Dental Management, Inc.

  dba Children's Dentistry of West Cobb

  • Pediatric Dentistry
  • Kennesaw, GA
  • NPI 1184993933
  NPD (past)
• Children's Dentistry of West Cobb,LLC

  • Pediatric Dentistry
  • Kennesaw, GA
  • NPI 1396472676
  NPD (past)

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1588949689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SPRING LAKE PL NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303181646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 STILESBORO RD NW",
            "address_2": "SUITE 110",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527737",
            "telephone_number": "770-499-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "ANJALI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN014231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latrice Williams, FNP-C, FNP-BC
• Leslie Beth Williams
• Mya L Williams, APRN
• Olivia Williams
• Olivia Kate Williams
• Stacey Willingham, M.D.
• Willis Chiropractic Center LLC
• Willis Family Chiropractic, LLC
• Amy Dee Willis, D.C.
• Justin Kyle Willis, D.C.

• Pediatric Dentistry in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.