Active NPI
Benjamin D Williams, D.M.D.
- Periodontics
- Winter Park, FL
National Provider Identifier
1710035886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN17571
- Practice address
- 3727 N Goldenrod Rd Ste 108
Winter Park, FL 32792-8611 - Phone
- (205) 591-1101
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 5495 | AL | |
| Periodontics | 1223P0300X | DN17571 | FL | Primary |
Addresses
Primary practice location
3727 N Goldenrod Rd Ste 108
Winter Park, FL 32792-8611
Mailing address
508 Langholm Dr
Winter Park, FL 32789-5253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN17571 | FL | MD | Periodontist |
| 5495 | AL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1710035886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 LANGHOLM DR",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327895253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3727 N GOLDENROD RD STE 108",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327928611",
"telephone_number": "205-591-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "BENJAMIN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "AL",
"license": "5495",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN17571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.