Dr Jon W Williams Jr. DDS LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6921 Issued in VA

Legal business name

DR JON W WILLIAMS JR. DDS LTD

Practice address

5969 Telegraph Rd
Alexandria, VA 22310-2247

Phone

(703) 960-1160

Fax

(703) 960-3939

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Tracy Lynn Ward

Title

Office Manager

Phone

(703) 960-1160

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dayne Michael Patterson, D.D.S.

  • General Practice Dentistry
  • Alexandria, VA
  • NPI 1902141963
  NPD (past)
• Jon W Williams Jr., D.D.S

  • General Practice Dentistry
  • Alexandria, VA
  • NPI 1871788539
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689899304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5969 TELEGRAPH RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102247",
            "telephone_number": "703-960-1160",
            "fax_number": "703-960-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5969 TELEGRAPH RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102247",
            "telephone_number": "703-960-1160",
            "fax_number": "703-960-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JON W WILLIAMS JR. DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-960-1160",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "6921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Alexandria, VA
• Providers in Alexandria, VA by specialty
• General Practice Dentistry in Virginia

• 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.