Ronald A Williams, DMD – General Practice Dentistry

Key facts

NPI: 1972646040
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 17678 (MI)
Practice address: 2046 S State Rd
Suite a
Davison, MI 48423-8671
Phone: (810) 653-3503
Fax: (810) 653-0891
NPI assigned: Feb 15, 2007
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

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.

Art of Dentistry Dental Clinic/Center · Davison, MI · NPI 1376265785

NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
17678	MI	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Art of Dentistry		Current since Sep 20, 2022	Accepting new patients

Locations

2046 S State Rd
Ste A
Davison, MI 48423
Phone (810) 653-3503

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	17678	MI	Yes

Addresses

Primary practice location

2046 S State Rd
Suite a
Davison, MI 48423-8671

Mailing address

2046 S State Rd
Suite a
Davison, MI 48423-8671
Phone (810) 653-3503

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972646040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 S STATE RD",
            "address_2": "SUITE A",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484238671",
            "telephone_number": "810-653-3503",
            "fax_number": "810-653-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 S STATE RD",
            "address_2": "SUITE A",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484238671",
            "telephone_number": "810-653-3503",
            "fax_number": "810-653-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RONALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davison, MI

All providers in Davison, MI · General Practice Dentistry in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.