Nathan David Williamson, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2013025512 Issued in MO

Practice address

606 S Truman Blvd
Festus, MO 63028-2235

Phone

(636) 937-3870

Fax

(636) 937-9241

NPI assigned

Sep 8, 2008

Last updated

Dec 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nathan D. Williamson, D.M.D., LLC

  dba Williamson Dental

  • Dental Clinic/Center
  • Festus, MO
  • NPI 1932716610
  NPD Authorized official
• Nathan D. Williamson, D.M.D. LLC

  • General Practice Dentistry
  • Columbia, IL
  • NPI 1770010100
  NPD Authorized official
• John F. Empkey,D.D.S.,P.C

  • General Practice Dentistry
  • Festus, MO
  • NPI 1366532772
  NPD (past)

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1871741454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 S TRUMAN BLVD",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282235",
            "telephone_number": "636-937-3870",
            "fax_number": "636-937-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 S TRUMAN BLVD",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282235",
            "telephone_number": "636-937-3870",
            "fax_number": "636-937-9241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Admiral Trost Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "IL",
            "postal_code": "622362163",
            "country_code": "US",
            "telephone_number": "618-400-0550",
            "fax_number": "618-400-0824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "NATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-027747",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2013025512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caree Williams
• Eric Williams
• Mary Ann Williams
• Renee Williams
• Tracy Lynn Williams, IBCLC, CLC
• Julie Ann Wilson, BSN, RNFA
• Natalie Joan Wilson, CPNP
• Kara Michelle Wirth, PA-C
• Stacy Wisdom
• Within You Counseling, LLC

• General Practice Dentistry in Festus, MO
• Providers in Festus, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.