Williamsville Dental Group

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

028311 Issued in NY

Legal business name

WILLIAMSVILLE DENTAL GROUP

Practice address

40 N Union Rd
Suite 1
Williamsville, NY 14221

Phone

(716) 633-1187

Fax

(716) 633-4276

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James H Ely, DDS

Title

President

Phone

(716) 633-1187

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689710204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N UNION RD",
            "address_2": "SUITE 1",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-633-1187",
            "fax_number": "716-633-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N UNION RD",
            "address_2": "SUITE 1",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-633-1187",
            "fax_number": "716-633-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSVILLE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-633-1187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "028311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02666475",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyana T Williams
• Yulanda Lene Williams, LPN
• Julie A. Williamson, P.T.
• Kristin M Williamson, RPA-C
• Williamsville Clare Bridge Operator, Inc.
• Williamsville Family Chiropractic P.C.
• Williamsville Family Dentistry P.C.
• Williamsville Gastroenterology Associates P.C.
• Williamsville Medical Imaging PC
• Williamsville Obstetrics and Gynecology

• Pediatric Dentistry in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Pediatric Dentistry in New York

• 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.