RON T WILLIAMSON DDS AND ASSOCIATES PLC (NPI# 1609082510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609082510 |
| Entity Type | Organization |
| Organization Name | RON T WILLIAMSON DDS AND ASSOCIATES PLC |
| Practice Address |
1964 W 11 Mile Rd Suite 4 Berkley MI 48072-3046 |
| Practice Telephone | 2483994455 |
| Practice Fax Number | 2483995622 |
| Mailing Telephone | 2483994455 |
| Mailing Fax Number | 2483995622 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2013-11-19 |
| Authorized Official Name | RONNIE THOMAS WILLIAMSON (PRESIDENT) |
| Authorized Official Telephone | 2483994455 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 013659 | MI | Dental Providers |
| Street Address |
1964 W 11 MILE RD SUITE 4 |
| City | BERKLEY |
| State | MI |
| Zip Code | 48072-3046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588101091 | Mark Rosen | Physician Assistant | 1964 W 11 Mile Rd, Berkley, MI 48072-3046 | 2017-01-22 |
| 1538457882 | Michigan Healthcare Professionals PC | Clinical Medical Laboratory | 1964 W 11 Mile Rd, Berkley, MI 48072-3046 | 2011-07-20 |
| 1891028759 | Ganeshji Inc | Pharmacy | 1964 W 11 Mile Rd, Berkley, MI 48072-3046 | 2009-09-10 |
| 1235366014 | Caleb Anthony Youngblood | Physician Assistant | 1964 W 11 Mile Rd, Berkley, MI 48072-3046 | 2009-06-18 |
| 1942444203 | Clifford M Buchman Do PC | Orthopaedic Surgery | 1964 W 11 Mile Rd, Berkley, MI 48072-3046 | 2009-04-29 |
| 1023126026 | Medcart Specialty Care LLC | Durable Medical Equipment & Medical Supplies | 1964 W 11 Mile Rd, Suite C, Berkley, MI 48072-3046 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759539 | Embodied Wellness, Pllc | Counselor | 1354 Harvard Rd, Berkley, MI 48072 | 2020-08-03 |
| 1790202224 | Medcrafters Rx Pharmacy LLC | Pharmacy | 3348 W 12 Mile Rd, Berkley, MI 48072 | 2017-08-25 |
| 1144684861 | Marilyn Ann Hawkins | Registered Nurse | 2766 West 11 Mile Rd., Beckley, MI 48072 | 2016-04-08 |
| 1134547862 | Rimma Polevoy | Internal Medicine | 1949 12 Mile Rd Ste 100, Berkley, MI 48072 | 2014-03-31 |
| 1245676212 | Chelsea Peraino Smoots | Social Worker | 892 11 Mile Rd, Berkley, MI 48072 | 2013-05-17 |
| 1770730483 | Bryce Paul Roekle | Counselor | 1799 Phillips Avenue, Berkley, MI 48072 | 2008-08-25 |
| 1003003617 | Oakland Family Services | Community/Behavioral Health | 2351 West 12 Mile Road, Berkley, MI 48072 | 2007-09-27 |
| 1063605012 | Care Plus Home Health Services, Inc | Home Health | 28139 Woodward Ave, Berkley, MI 48072 | 2007-08-23 |
| 1346370020 | David Jason Carpenter | Social Worker | 2345 West 12 Mile Road, Berkley, MI 48072 | 2007-03-06 |
| 1871674192 | Robert Igwe | Internal Medicine | 1949 West Twelve Mile Rd, Ste 200, Berkley, MI 48072 | 2006-10-17 |
| Find all providers in zip 48072 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710378211 | Diora Christina Jouja | Dentist | 1665 W 12 Mile Rd, Berkley, MI 48072-2121 | 2015-02-05 |
| 1780096792 | Hygienist Recommended Inc | Dentist | 2790 12 Mile Rd, Berkley, MI 48072-1630 | 2014-05-25 |
| 1922187582 | Sara Elizabeth Ruddy | Dentist | 3083 Coolidge Hwy, Berkley, MI 48072-3523 | 2006-11-03 |
| 1255419958 | Najah D Roumayah | Dentist | 3211 Coolidge Hwy, Berkley, MI 48072-1633 | 2006-11-01 |
| 1891708103 | Pierre Charles Beaudet | Dentist | 1130 Catalpa, Berkley, MI 48072 | 2006-08-15 |
| 1770535981 | Samer G. Shamoon | Dentist | 600 W 11 Mile Rd, Berkley, MI 48072-3027 | 2006-05-16 |
| 1104806389 | Roger William Black | Dentist | 28969 Woodward Ave, Berkley, MI 48072-0916 | 2006-01-22 |
| 1992359566 | Bradley Merritt | Dentist | 1865 Coolidge Hwy, Berkley, MI 48072-3042 | 2019-07-31 |
| 1023532298 | Jared Gibby | Dentist | 1865 Coolidge Hwy, Berkley, MI 48072-3042 | 2017-07-31 |
| 1316398902 | Pavan Kumar | Dentist | 2790 12 Mile Rd, Berkley, MI 48072-1630 | 2016-06-25 |
| Find all providers in BERKLEY | ||||
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| 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.