Active NPI
Clayton Bruce Williams, DDS
- Endodontics
- St George, UT
National Provider Identifier
1710062377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- D-3704
- Practice address
- 2676 S 2110 E
St George, UT 84790-7076 - Phone
- (435) 899-9886
- NPI assigned
- Oct 25, 2006
- Last updated
- Aug 7, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | D-3704 | ID | Primary |
Addresses
Primary practice location
2676 S 2110 E
St George, UT 84790-7076
Mailing address
2676 S 2110 E
St George, UT 84790-7076
Phone (435) 899-9886
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 |
|---|---|---|---|
| D-3704 | ID | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249603200000",
"number": "1710062377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2676 S 2110 E",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847907076",
"telephone_number": "435-899-9886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2676 S 2110 E",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847907076",
"telephone_number": "435-899-9886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CLAYTON",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2009-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "ID",
"license": "D-3704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.