Active NPI
Quotasze Williams, DMD
- Dentist
- Memphis, TN
National Provider Identifier
1932834231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12078
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220917000548 | MS | Practitioner - Dentist | 5597140160 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4875 | AR | MD | Dentist |
| 12078 | TN | MD | Dentist |
| 4317-22 | MS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta Health Center Inc | Current | Accepting new patients | |
| Delta Health Center, Inc | Current | Accepting new patients |
Locations
702 Mlk St
Mound Bayou, MS 38762
Phone (662) 741-2151
Interoperability endpoints
- 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.
-
- Federally Qualified Health Center (FQHC)
- Mound Bayou, MS
- NPI 1659378610
-
- Federally Qualified Health Center (FQHC)
- Drew, MS
- NPI 1265088421
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.