Donielle Fa'Nice Williams, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN015712 Issued in GA

Practice address

4920 Roswell Rd Ste 265
Atlanta, GA 30342-2686

Phone

(404) 458-9908

Fax

(404) 458-9905

NPI assigned

Apr 9, 2018

Sex

Female

Sole proprietor

No

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

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.

• Chastain Dental Group LLC

  • Dental Clinic/Center
  • Atlanta, GA
  • NPI 1245041979
  NPD Authorized official

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1780181412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 OBRYANT CIR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823906",
            "telephone_number": "404-512-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 ROSWELL RD STE 265",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422686",
            "telephone_number": "404-458-9908",
            "fax_number": "404-458-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DONIELLE",
        "middle_name": "FA'NICE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN015712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devan Tenner Williams
• Deyuan Antwon Williams
• Dmora Williams, RN
• Dnyce L Williams, MD
• Dominic Lavell Williams
• Donjai Williams
• Dontay Chester Williams, LPC
• Dorian Williams
• Dorothy S Williams, LPC
• Ebone J Williams

• Pediatric Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.