Tanesha Williams, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015889 Issued in GA

Practice address

1447 N Expressway Ste a
Griffin, GA 30223-1752

Phone

(470) 204-2409

NPI assigned

Jun 24, 2019

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Elkdental LLC

  • Dentist
  • Decatur, GA
  • NPI 1346694866
  NPD (past)

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1669033403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 MORAVIA DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382639",
            "telephone_number": "770-987-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 N EXPRESSWAY STE A",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302231752",
            "telephone_number": "470-204-2409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Newnan Crossing Byp",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302651063",
            "country_code": "US",
            "telephone_number": "678-621-6410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TANESHA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latamika Renee Williams
• Morgan Alexis Williams, OTR
• Pamela Williams
• Shanerica Williams, RPH
• Stacy Williams
• Walter Thomas Williams, PHARM.D.
• Deon Tywonn Willis, MPH
• Subbie Willis
• Megan Elizabeth Wilmot, OT
• Patricia Louise Wilmoth

• General Practice Dentistry in Griffin, GA
• Providers in Griffin, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.