Gary Williams LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GARY WILLIAMS LLC

Practice address

100 Marketplace Dr Ste B
Byram, MS 39272-8974

Phone

(601) 665-4809

Fax

(769) 230-4973

NPI assigned

Aug 20, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gary Eugene Williams, DMD

Title

Dentist/Owner

Phone

(601) 665-4809

Specialties & licenses 1

Addresses

Other names 1

• Williams Dental and Associates Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaden Van, DMD

  • General Practice Dentistry
  • Byram, MS
  • NPI 1134808488
  NPD

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1831746338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MARKETPLACE DR",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392728974",
            "telephone_number": "601-665-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARKETPLACE DR STE B",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392728974",
            "telephone_number": "601-665-4809",
            "fax_number": "769-230-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY WILLIAMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "601-665-4809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williams Dental and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Byram, MS
• Providers in Byram, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.