Organization Active NPI

Robert L. Williamson, III, DDS5

Doing business as Smithfield Comprehensive & Cosmetic Dentistry

  • Dentist
  • Smithfield, NC
National Provider Identifier
1942431481
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7038 Issued in NC
Legal business name
ROBERT L. WILLIAMSON, III, DDS5
Doing business as
Smithfield Comprehensive & Cosmetic Dentistry
Practice address
415-B North Seventh Street
Smithfield, NC 27577
Phone
(919) 934-3636
Fax
(919) 934-1667
NPI assigned
Jul 31, 2009
Last updated
Oct 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Nancy Campbell
Title
Operations Director
Phone
(919) 934-3636

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7038 NC Primary
Dentist 122300000X 9144 NC

Addresses

Primary practice location

415-B North Seventh Street
Smithfield, NC 27577

Mailing address

415-B North Seventh Street
Smithfield, NC 27577
Phone (919) 934-3636

Other identifiers 3

IdentifierTypeStateIssuer
89902EJMedicaidNC
5913143MedicaidNC
5919352MedicaidNC

Other names 1

  • Smithfield Comprehensive & Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

415 N 7th St
Ste B
Smithfield, NC 27577
Phone (919) 934-3636

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1942431481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415-B NORTH SEVENTH STREET",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "27577",
            "telephone_number": "919-934-3636",
            "fax_number": "919-934-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415-B NORTH SEVENTH STREET",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "27577",
            "telephone_number": "919-934-3636",
            "fax_number": "919-934-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. WILLIAMSON, III, DDS5",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "919-934-3636"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7038",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9144",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902EJ",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913143",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5919352",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smithfield Comprehensive & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.