Austin Troy Williams, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

13895973-8903 Issued in UT

Practice address

3473 W South Jordan Pkwy Ste 103
South Jordan, UT 84095-6015

Phone

(801) 876-5551

NPI assigned

Jun 16, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Payne Pediatric Dentistry

  • Pediatric Dentistry
  • Lehi, UT
  • NPI 1184477762
  NPD
• Hardy Smiles Pediatric Dentistry

  • Pediatric Dentistry
  • Lehi, UT
  • NPI 1073057667
  NPD (past)

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1881324291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3397 N 1200 E STE 113",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840433262",
            "telephone_number": "801-331-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3473 W SOUTH JORDAN PKWY STE 103",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840956015",
            "telephone_number": "801-876-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AUSTIN",
        "middle_name": "TROY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "13895973-8903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shandlie Wilcox
• Willden Family Dental Inc
• Willden Family Dental Inc.
• Ryan Hymas Willden, DDS
• Alyxandra Williams, MD
• Danielle Williams, RN, BSN
• Halley Williams, MASTER ESTHETICIAN
• Jenifer J Williams, FNP-C
• Ryan Williams, DC
• Kylie Nicole Willson, AUD

• Pediatric Dentistry in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.