Professional Orthodontic Associates PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8495 Issued in TX

Legal business name

PROFESSIONAL ORTHODONTIC ASSOCIATES PC

Practice address

701 N Hampton Rd
Desoto, TX 75115-4509

Phone

(972) 230-0155

Fax

(972) 230-0741

NPI assigned

Jun 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Charles Ivan Williams Sr., DDS

Title

Owner

Phone

(972) 230-0155

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1861651291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N HAMPTON RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154509",
            "telephone_number": "972-230-0155",
            "fax_number": "972-230-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N HAMPTON RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154509",
            "telephone_number": "972-230-0155",
            "fax_number": "972-230-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ORTHODONTIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-230-0155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "8495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primrose Health Solutions
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• Nicole Pritchard
• Professional Emergency Service Association of Bedford
• Professional Emergency Service Association of Desoto
• Professional Plaza Pharmacy Inc
• Promed Medical
• Prominent Health Care Solutions LLC
• Promontory Geriatrics LLC
• Propercare Internal Medicine PA

• General Practice Dentistry in Desoto, TX
• Providers in Desoto, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.