Chadwick Lee Williams, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

TN7866 Issued in TN

Practice address

205 W High St
Suite 104
Lebanon, TN 37087-2264

Phone

(615) 444-2069

Fax

(615) 444-3706

NPI assigned

Oct 17, 2005

Last updated

Sep 25, 2017By 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 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Chadwick L. Williams DMD PLLC

  dba Smile Gallery

  • General Practice Dentistry
  • Lebanon, TN
  • NPI 1003087958
  NPD (past) Authorized official

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1831188507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W HIGH ST",
            "address_2": "SUITE 104",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872264",
            "telephone_number": "615-444-2069",
            "fax_number": "615-444-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W HIGH ST",
            "address_2": "SUITE 104",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872264",
            "telephone_number": "615-444-2069",
            "fax_number": "615-444-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHADWICK",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "TN7866",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "TN7866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Whitworth
• Joshua Andrew Wienczkowski, M.D.
• Kaetlyn Jordan Wilburn
• Willard M West M D
• William J Littman MD PC
• Logan Kai Williams
• Nathan Denton Williams, M.A., RBT
• Eric Willis
• Joseph Willis, RBT
• William E Willis Jr., DDS

• Dentist in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.