MR. JACK OWEN WILLIAMS JR.


Address: 3840 Woodruff Ave, Suite 206, Long Beach, CA 90808
Phone: 5624213751

MR. JACK OWEN WILLIAMS JR. (NPI# 1265658124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265658124
Entity Type Individual
Full Name MR. JACK OWEN WILLIAMS JR.
Credential DDS
Practice Address 3840 Woodruff Ave
Suite 206
Long Beach
CA 90808
Practice Telephone 5624213751
Practice Fax Number 5624971131
Mailing Telephone 5624213751
Mailing Fax Number 5624971131
Enumeration Date 2007-04-18
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 33686 CA Dental Providers

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1275878142 Jack Parker Williams Physical Therapy Assistant 5690 Weaver Rd, Conneaut, OH 44030-9798 2012-12-04
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1356454722 Jack Roger Williams Dentist 23706 Malibu Rd, Malibu, CA 90265 2006-08-17
1730195892 Jack Lawrence Williams Dentist 5150 E Stop 11 Rd, Suite 11, Indianapolis, IN 46237-8628 2006-07-31
1053357145 Jack A Williams Chiropractor 204 N Glenwood Avenue, Dalton, GA 30721-3011 2006-06-20
1477906279 Jack Weston Williams IIi Pharmacist 2034 New Castle Ave, New Castle, DE 19720-7703 2016-07-15
1083014633 Jack Williams Jr. Community Health Worker 687 Cheshire Ave, Eugene, OR 97402-5060 2014-09-02
1598738189 Jack Brook Williams Specialist 5454 Wisconsin Ave, Suite 1535, Chevy Chase, MD 20815-6901 2006-02-13

Office Location

Street Address 3840 WOODRUFF AVE
SUITE 206
City LONG BEACH
State CA
Zip Code 90808

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093885683 Anna C Gee Chiropractor 3840 Woodruff Ave, Ste. 101, Long Beach, CA 90808-2143 2006-11-09
1124410337 Barbara Oh Speech-Language Pathologist 3840 Woodruff Ave, Suite 211, Long Beach, CA 90808-2143 2015-02-25
1437549433 Speech Bananas Inc. Speech-Language Pathologist 3840 Woodruff Ave, Suite 211, Long Beach, CA 90808-2143 2015-01-28
1245629658 Sydney Pipkin Specialist/Technologist 3840 Woodruff Ave, Suite 211, Long Beach, CA 90808-2143 2015-01-22
1285023705 Chelsea Morell Speech-Language Pathologist 3840 Woodruff Ave, Suite 211, Long Beach, CA 90808-2143 2015-01-21
1255778130 Thomas Edward Hanson Dentist 3840 Woodruff Ave, Suite 202, Long Beach, CA 90808-2143 2013-05-31
1194098277 Sol Enterprises LLC Acupuncturist 3840 Woodruff Ave, 209, Long Beach, CA 90808-2143 2012-02-20
1649416512 Sompia Paigne Social Worker 3840 Woodruff Ave, Suite 210, Long Beach, CA 90808-2143 2008-12-26
1730325879 Ping Chao Acupuncturist 3840 Woodruff Ave, 209, Long Beach, CA 90808-2143 2008-12-19
1518116367 Jennifer Regnery Reeder Speech-Language Pathologist 3840 Woodruff Ave, Suite 211, Long Beach, CA 90808-2143 2008-09-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629558713 Long Beach-lakewood Orthopedic Institute Orthopaedic Surgery 3828 Schaufele Ave Ste 320, Long Beach, CA 90808 2018-08-17
1376072710 Premiere Cottages Inc. Assisted Living Facility 4815 Premiere Ave, Long Beach, CA 90808 2017-06-08
1760911184 Collaborative Partners for Success, LLC Speech-Language Pathologist 3472 Tulane Avenue, Long Beach, CA 90808 2017-06-08
1942658604 Susan S Orr Physical Therapist 3833 Worsham Ave #301, Long Beach, CA 90808 2016-06-02
1447611298 Rac Brittany House Alzheimer Center (Dementia Center) 5641 Centralia Avenue, Long Beach, CA 90808 2016-03-08
1003234261 Ray Ira Apter Social Worker 4333 N. Greenbrier Road, Long Beach, CA 90808 2014-04-03
1043590649 Fonda Jiang Allergy & Immunology 3816 Woodruff Ave Ste 209, Long Beach, CA 90808 2011-08-26
1457640757 Alexander Cristian Gavrila Dentist 4200 Lakewood Blvd, Long Beach, CA 90808 2011-04-07
1851629034 Reyana Ewing Dietitian, Registered 4195 N Viking Way Ste D, Long Beach, CA 90808 2009-11-25
1548497597 Veronika Lee Hoover Social Worker 4195 N. Viking Way, Suite F, Long Beach, CA 90808 2009-06-17
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467069633 Jonathan Beroukhim Dds Inc Dentist 6950 N Paramount Blvd, Long Beach, CA 90805-1863 2020-09-30
1093347437 Leila Zamiri Dds Inc Dentist 3317 E 10th St, Long Beach, CA 90804-5050 2020-02-04
1356971063 Michael Bui Dmd, Inc Dentist 3320 N Los Coyotes Diagonal Ste 250, Long Beach, CA 90808-3939 2020-01-22
1518508605 Wu and Najafi Dental Corporation Dentist 7370 Carson Blvd, Long Beach, CA 90808-2360 2019-10-01
1487205878 Steven Wu Dental Corporation Dentist 7603 Carson Blvd, Long Beach, CA 90808-2367 2019-09-26
1336792068 Nam G Bui Dentist 4808 Bentree Ave, Long Beach, CA 90807-1007 2019-07-22
1568023265 Alice Khieu Flores Dentist 1321 Lemon Ave, Long Beach, CA 90813-2100 2019-06-24
1427522812 Western Dental Services, Inc. Dentist 2306 E 7th Street, Long Beach, CA 90804 2019-01-18
1851875405 Ronald C. Abaro Dds Inc Dentist 627 Magnolia Ave Ste 105, Long Beach, CA 90802-1289 2018-09-19
1548754260 Peace Kim Dentistry, Inc. Dentist 3840 Woodruff Ave Ste 107, Long Beach, CA 90808-2148 2018-06-16
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Competitor

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City LONG BEACH
Zip Code 90808

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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