William David Allen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013419 Issued in GA

Practice address

1181 Langford Dr
Building 100-105
Watkinsville, GA 30677-7242

Phone

(706) 621-4480

Fax

(706) 621-4481

NPI assigned

May 2, 2007

Last updated

Sep 2, 2020By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1780806547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 LANGFORD DR",
            "address_2": "BUILDING 100-105",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306771922",
            "telephone_number": "706-621-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 LANGFORD DR",
            "address_2": "BUILDING 100-105",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777242",
            "telephone_number": "706-621-4480",
            "fax_number": "706-621-4481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4574 Lawrenceville Hwy NW Ste 120",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300473605",
            "country_code": "US",
            "telephone_number": "678-370-0591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Cavanah Albers, DNP
• Aletheia Health & Wellness LLC
• Gena D Alexander-Albert, MD
• Jan Brooks Allen, LPC
• Judith Carr Allen, OTR
• Allison Deroeck Psychotherapy LLC
• Ana Alviz
• Amanda D Dyer, PHD, Inc
• Victoria Maxwell Amaral
• Ashley Amatriain, PT, DPT

• General Practice Dentistry in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.