Benjamin D Williams Dental Group LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

AL4736 Issued in AL

Legal business name

BENJAMIN D WILLIAMS DENTAL GROUP LLC

Practice address

1715 Golden Springs Road
Anniston, AL 36207

Phone

(256) 231-0077

Fax

(256) 231-0866

NPI assigned

Aug 28, 2008

Last updated

Jun 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin D Williams, DMD

Title

Owner

Phone

(256) 231-0077

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Shannon R Thomas DMD Former legal business name

Locations

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.

• Shannon R. Thomas, DMD

  • Periodontics
  • Anniston, AL
  • NPI 1497838288
  NPD (past)

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1942458286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 GOLDEN SPRINGS ROAD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "36207",
            "telephone_number": "256-231-0077",
            "fax_number": "256-231-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 GOLDEN SPRINGS ROAD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "36207",
            "telephone_number": "256-231-0077",
            "fax_number": "256-231-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN D WILLIAMS DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-231-0077",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "4736",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AL",
            "license": "AL4736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF AL",
            "identifier": "510-10222",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shannon R Thomas DMD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Lori Bell, C.R.N.P.
• Kimberly Anne Bentley, PT, DPT, IDN CERT.
• Brittain Dawson Benton, PT, DPT
• John B Benton Jr., DDS
• Jordan Barry Benton, D.M.D.
• Judy Jordan Benton, PT, PCS

• Periodontics in Anniston, AL
• Providers in Anniston, AL by specialty
• Periodontics in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.