Individual provider Active NPI

William T. Calhoun, DMD

  • General Practice Dentistry
  • Carrollton, GA
National Provider Identifier
1841345311
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN009795 Issued in GA
Practice address
406 Dixie St
Carrollton, GA 30117-3922
Phone
(770) 834-7709
Fax
(770) 836-9020
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN009795 GA Primary

Addresses

Primary practice location

406 Dixie St
Carrollton, GA 30117-3922

Mailing address

406 Dixie St
Carrollton, GA 30117-3922
Phone (770) 834-7709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20150714003058 GA Order and Referring Only - DentistPractitioner - Dentist 1153634597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN009795GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carrollton Family Dentistry LLC General Practice PastSince Nov 8, 2025 Accepting new patients
William J Pottorf DDS PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1841345311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173922",
            "telephone_number": "770-834-7709",
            "fax_number": "770-836-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173922",
            "telephone_number": "770-834-7709",
            "fax_number": "770-836-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "WILLIAM",
        "middle_name": "T.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN009795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.