Bristol Marie Williams, DDS., MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN013363 Issued in GA

Practice address

7878 Roswell Rd
Ste. O
Sandy Springs, GA 30350-6880

Phone

(678) 443-1491

Fax

(678) 443-1441

NPI assigned

Aug 15, 2007

Last updated

Dec 2, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1740472521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7878 ROSWELL RD",
            "address_2": "STE. O",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303506880",
            "telephone_number": "678-443-1491",
            "fax_number": "678-443-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7878 ROSWELL RD",
            "address_2": "STE. O",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303506880",
            "telephone_number": "678-443-1491",
            "fax_number": "678-443-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRISTOL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS., MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "DN013363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay West
• Nia Imani White, PMHNP-BC
• Taneka S. White, LMFT
• Mark B. Wilkiemeyer, M.D.
• Sophie Wilks, FNP
• Dasia Williams
• Di'Onna Williams, LAPC
• Elizabeth Williams
• Mikaelle Williams, DMD
• Nathaniel Antwan Williams, D.D.S.

• Periodontics in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Periodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.