F Stan Williams DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015047 Issued in MO

Legal business name

F STAN WILLIAMS DDS LLC

Practice address

2502 William St
Suite 2a
Cape Girardeau, MO 63703-5763

Phone

(573) 335-5700

Fax

(573) 803-1709

NPI assigned

Dec 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Freeman Stanley Williams, DDSNPI 1568505634

Title

Owner

Phone

(573) 335-5700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Freeman S. Williams, D.D.S.

  • General Practice Dentistry
  • Jackson, MO
  • NPI 1568505634
  NPD Authorized official

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1952766487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 WILLIAM ST",
            "address_2": "SUITE 2A",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035763",
            "telephone_number": "573-335-5700",
            "fax_number": "573-803-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 WILLIAM ST",
            "address_2": "SUITE 2A",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035763",
            "telephone_number": "573-335-5700",
            "fax_number": "573-803-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F STAN WILLIAMS DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "FREEMAN",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-335-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "015047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Renee Evans, LCSW
• Laura R. Evans, O.D.
• Extra Hands Incorporated
• Eye Care Specialists, LLC
• Eye Consultants Incorporated
• Anthony Jerome Faber, PHD
• Ayotunde B Fadayomi, MD
• Tolulope Oyebola Fadayomi, MD
• Fadulelmola Fadul, MD
• Joann Falcon, CPM

• General Practice Dentistry in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.