Maronette Ehab William, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

107614 Issued in CA

Practice address

6437 E Pacific Coast Hwy Unit A6
Long Beach, CA 90803-4201

Phone

(562) 280-5200

NPI assigned

Jul 28, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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

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.

• Dr Maronette William DDS Inc

  • Dentist
  • San Juan Capistrano, CA
  • NPI 1689362972
  NPD Authorized official
• Victoria Nguyen Dental Corporation

  • Dentist
  • Long Beach, CA
  • NPI 1629438247
  NPD (past)

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1801522180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8148 13TH ST APT C",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837285",
            "telephone_number": "714-399-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6437 E PACIFIC COAST HWY UNIT A6",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034201",
            "telephone_number": "562-280-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAM",
        "first_name": "MARONETTE",
        "middle_name": "EHAB",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MaronetteWilliam",
            "affiliation": "N",
            "address_1": "6437 E Pacific Coast Hwy Unit A6",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908034201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Horace Willey
• Willhouse Collaborative Family Therapy Inc
• William a Grella Jr DDS Inc
• William C. Kim, M.D., Inc
• William W. Hampton, M.D., Inc.
• Adewole Williams
• Ahniya Grace Williams
• Amber Storm Williams
• Amy Katherine Williams, M.D.
• Angela R Williams, DIET TECHNICIAN

• General Practice Dentistry in Long Beach, CA
• Providers in Long Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.