Auston Culeigh Williams Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3740 Issued in NC

Practice address

601 W Broad St
Dunn, NC 28334-4859

Phone

(910) 892-3145

Fax

(910) 892-2107

NPI assigned

Apr 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1982668273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W BROAD ST",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344859",
            "telephone_number": "910-892-3145",
            "fax_number": "910-892-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W BROAD ST",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344859",
            "telephone_number": "910-892-3145",
            "fax_number": "910-892-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AUSTON",
        "middle_name": "CULEIGH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013PT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Wentz, DDS
• Luther B West III, PHARMD
• WH Pharmacy 2 LLC
• Forrest Wilke
• Auston Culeigh Williams III, DDS
• Jacqueline Williams, CRNA
• John Michael Williams, D.D.S.
• Michelle Williams, OTRL
• Amy Watson Willis, BS-ITFS
• Miranda Elizabeth Willson, DPT

• General Practice Dentistry in Dunn, NC
• Providers in Dunn, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.

Verify at the official NPI Registry.