Sonya Lynnette Windham, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN012294 Issued in GA

Practice address

8180 Mall Pkwy
Suite 810
Lithonia, GA 30038-6911

Phone

(770) 484-4994

Fax

(770) 484-4575

NPI assigned

Sep 1, 2006

Sex

Female

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 and National Provider Directory roles.

• Childrens Dentistry at Stonecrest

  • Pediatric Dentistry
  • Lithonia, GA
  • NPI 1790046464
  NPD (past) Authorized official

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1871695056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 MALL PKWY",
            "address_2": "SUITE 810",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386911",
            "telephone_number": "770-484-4994",
            "fax_number": "770-484-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 MALL PKWY",
            "address_2": "SUITE 810",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386911",
            "telephone_number": "770-484-4994",
            "fax_number": "770-484-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "SONYA",
        "middle_name": "LYNNETTE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN012294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000905011C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Anne Wilson, M.D
• Kenya Wilson, RN
• Natasha Wilson, D.D.S.
• Tyquine Wilson
• Tasia Winans, MT
• Wisteria D Hendricks Dba S&S
• Lisa J Wolfgang, RN
• Women'S Imaging Specialists - Lithonia, LLC
• Womens Healthcare and Aesthetics
• Beverly A Woods, ARNP

• Pediatric Dentistry in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.