John Williams DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

License

019-016817 Issued in IL

Legal business name

JOHN WILLIAMS DDS, PC

Practice address

2132 6TH Ave
Moline, IL 61265-1419

Phone

(309) 762-3211

Fax

(309) 762-3278

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John R Williams, DDSNPI 1023031242

Title

President

Phone

(309) 762-3211

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John R Williams, D.D.S.

  • General Practice Dentistry
  • Moline, IL
  • NPI 1023031242
  NPD (past) Authorized official

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1720196447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 6TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612651419",
            "telephone_number": "309-762-3211",
            "fax_number": "309-762-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 6TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612651419",
            "telephone_number": "309-762-3211",
            "fax_number": "309-762-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN WILLIAMS DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-762-3211",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-016817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Moline, IL
• Providers in Moline, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.