Wayne County Dental Associates LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010471A Issued in IN

Legal business name

WAYNE COUNTY DENTAL ASSOCIATES LLC

Practice address

3041 E Main St
Richmond, IN 47374-5924

Phone

(765) 935-5335

Fax

(765) 983-3850

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Douglas Williams, D.D.SNPI 1801939673

Title

Owner

Phone

(765) 935-5335

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Douglas Williams, D.D.S

  • General Practice Dentistry
  • Richmond, IN
  • NPI 1801939673
  NPD (past) Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649313495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 E MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473745924",
            "telephone_number": "765-935-5335",
            "fax_number": "765-983-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 E MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473745924",
            "telephone_number": "765-935-5335",
            "fax_number": "765-983-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE COUNTY DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-935-5335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010471A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Watkins
• Amelia Watson
• Andrea Michelle Lynn Watson, RBT
• Kaley Searriah Rashell Watson, RBT
• Wayne County Auditor
• Wayne Family Health Care, P.C.
• We Dental LLC
• Jarod Weaver, PT
• Marissa Leigh Webb, OTR/L
• Sydney Webb, RBT

• General Practice Dentistry in Richmond, IN
• Providers in Richmond, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.