Brian R Williams, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3791 Issued in SC

Practice address

303 Ashby Park LN
Greenville, SC 29607-6903

Phone

(864) 987-5578

Fax

(864) 987-0351

NPI assigned

Nov 14, 2006

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

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

• Lakeside Family Dentistry

  • Dental Clinic/Center
  • Anderson, SC
  • NPI 1154175891
  NPD Authorized official
• Buffalo Liptz

  • General Practice Dentistry
  • Greenwood, SC
  • NPI 1003782665
  NPD
• Dental Professionals of South Carolina, P.C.

  dba Ashby Park Restorative and Cosmetic Dentistry PA

  • Dentist
  • Greenville, SC
  • NPI 1013302785
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831261056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 ASHBY PARK LN",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076903",
            "telephone_number": "864-987-5578",
            "fax_number": "864-987-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 ASHBY PARK LN",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076903",
            "telephone_number": "864-987-5578",
            "fax_number": "864-987-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRIAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3791",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bart David Williams III, MD, DMD
• Bertha Ree Williams
• Bradley Williams, FNP-C
• Bradley B Williams, M.D.
• Brady Philip Williams, RPH
• Brittany Bashamra Williams, MD
• Brooke Anderson Williams, C.R.N.A.
• Cady Free Williams, MD
• Carla Gibson Williams, RNFA
• Charles David Williams III, MD

• General Practice Dentistry in Greenville, SC
• Providers in Greenville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.