Individual provider Active NPI

Quotasze Williams, DMD

  • Dentist
  • Memphis, TN
National Provider Identifier
1932834231
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12078 Issued in TN
Practice address
3481 Poplar Ave
Memphis, TN 38111-4654
Phone
(901) 810-6455
NPI assigned
Jul 20, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12078 TN Primary
General Practice Dentistry 1223G0001X 4317-22 MS
Dentist 122300000X 4875 AR

Addresses

Primary practice location

3481 Poplar Ave
Memphis, TN 38111-4654

Mailing address

3481 Poplar Ave
Memphis, TN 38111-4654
Phone (901) 810-6455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20220917000548 MS Practitioner - Dentist 5597140160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4875ARMDDentist
12078TNMDDentist
4317-22MSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Health Center Inc Current Accepting new patients
Delta Health Center, Inc CurrentSince Oct 19, 2022 Accepting new patients

Locations

702 Mlk St
Mound Bayou, MS 38762
Phone (662) 741-2151

Interoperability endpoints

  • Direct secure messaging: quotasze.williams.p1@direct.deltahc.nextgenshare.com

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": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1932834231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3481 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114654",
            "telephone_number": "901-810-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3481 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114654",
            "telephone_number": "901-810-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "QUOTASZE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "12078",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "4317-22",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.