Keith T Williams, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN015235 Issued in GA

Practice address

2900 Delk Rd SE Ste 420
Marietta, GA 30067-5320

Phone

(248) 943-4817

NPI assigned

Oct 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Braces Braces LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Acworth, GA
  • NPI 1487061214
  NPD (past)
• Pda Ortho Specialty of Georgia, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Acworth, GA
  • NPI 1982169173
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1770770794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 DELK RD SE STE 420",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675320",
            "telephone_number": "770-790-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DELK RD SE STE 420",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675320",
            "telephone_number": "248-943-4817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3450 Cobb Pkwy NW Ste 160",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301018379",
            "country_code": "US",
            "telephone_number": "770-222-2322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KEITH",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-03",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN015235",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN015235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5236061",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Javon M Williams, L.P.C.
• John Williams
• John E Williams, MD
• Julia Williams, NP-C
• Katherine M Williams, NP
• Kelly Glaze Williams, PA-C
• Keneeshia Nicole Williams, M.D.
• Kennedy Williams, RBT
• Lakeisha Williams
• Lashonda Lashay Williams, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Marietta, GA
• Providers in Marietta, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.