Individual provider Active NPI

George Carroll Williams, DDS

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1639265887
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
MD06734 Issued in MD
Practice address
600 Light St
Baltimore, MD 21230-3856
Phone
(410) 659-0900
Fax
(410) 659-0902
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X MD06734 MD Primary

Addresses

Primary practice location

600 Light St
Baltimore, MD 21230-3856

Mailing address

5 Ruxton Green Court
Towson, MD 21204-3548
Phone (410) 825-3450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20160105001666 MD Order and Referring Only - DentistPractitioner - Dentist 1658413638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD06734MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa T Williams PC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Oral Medicine Consultants PastSince Jul 1, 2009 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639265887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RUXTON GREEN COURT",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212043548",
            "telephone_number": "410-825-3450",
            "fax_number": "410-659-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LIGHT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303856",
            "telephone_number": "410-659-0900",
            "fax_number": "410-659-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GEORGE",
        "middle_name": "CARROLL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "MD06734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.