Sally William, DDS
Individual provider Active NPI Dentist · Oildale, CA
NPI 1982739736 · NPPES record last updated Jan 24, 2012
Key facts
- NPI
- 1982739736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 55404 (CA)
- Practice address
- 525 Roberts Lane
Oildale, CA 93308-0000 - Phone
- (661) 392-7850
- Fax
- (661) 215-2349
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150603002917 | CA | Practitioner - Oral Surgery | 9830410737 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Family Health | Current |
Accepting new patients | |
| Omni Family Health | Current |
Accepting new patients | |
| Omni Family Health | Current | Accepting new patients | |
| Omni Family Health | Past | Accepting new patients | |
| Omni Family Health | Past | Accepting new patients |
Locations
6700 Niles St
Ste 185
Bakersfield, CA 93306
3800 Mall View Rd
Bakersfield, CA 93306
4151 Mexicali Dr
Bakersfield, CA 93313
1701 Stine Rd
Bakersfield, CA 93309
Phone (661) 770-3317
4600 Panama Ln
Unit 102B
Bakersfield, CA 93313
Phone (661) 630-7732
4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046
1014 Calloway Dr
Bldg F
Bakersfield, CA 93312
525 Roberts Ln
Bakersfield, CA 93308
Phone (661) 392-7850
4900 California Ave
Ste 100B
Bakersfield, CA 93309
Phone (818) 445-6935
4131 Ming Ave
Bakersfield, CA 93309
277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381
912 Fremont St
Delano, CA 93215
Phone (661) 459-1974
1110 W Visalia Rd
Ste 102
Exeter, CA 93221
4646 N 1st St
Fresno, CA 93726
Phone (559) 558-9895
1530 E Manning Ave
Reedley, CA 93654
Phone (559) 558-9741
1133 Chelsea St
Ridgecrest, CA 93555
Phone (661) 459-1956
655 S Central Valley Hwy
Shafter, CA 93263
Phone (661) 459-1927
659 S Central Valley Hwy
Shafter, CA 93263
Phone (661) 459-1913
1100 4th St
Ste A
Taft, CA 93268
161 N Mill St
Tehachapi, CA 93561
Phone 66177255005530
311 W Noble Ave
Visalia, CA 93277
Phone (559) 625-9200
2101 7th St
Bldg Af
Wasco, CA 93280
Interoperability endpoints
- sally.williams.p1@direct.omnifamilyhealth.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 55404 | CA | Yes |
Addresses
Primary practice location
525 Roberts Lane
Oildale, CA 93308-0000
Mailing address
659 S Central Valley Hwy
P.O. Box 1060
Shafter, CA 93263-2790
Phone (661) 459-1900
Other names
- Sally Habib
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.