DR. JACK LAWRENCE WILLIAMS (NPI# 1730195892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730195892 |
| Entity Type | Individual |
| Full Name | DR. JACK LAWRENCE WILLIAMS |
| Credential | DDS |
| Practice Address |
5150 E Stop 11 Rd Suite 11 Indianapolis IN 46237-8628 |
| Practice Telephone | 3178896000 |
| Practice Fax Number | 3178891618 |
| Mailing Telephone | 3178896000 |
| Mailing Fax Number | 3178891618 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2016-05-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7400 | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275878142 | Jack Parker Williams | Physical Therapy Assistant | 5690 Weaver Rd, Conneaut, OH 44030-9798 | 2012-12-04 |
| 1629312988 | Jack Williams | Military Health Care Provider | 116 Dickman Dr, Dayton, OH 45431-1570 | 2012-11-26 |
| 1881823409 | Jack Shelton Williams Jr. | Registered Nurse | 806 Acquoni Rd, Suite 100, Cherokee, NC 28719-0666 | 2009-07-02 |
| 1356454722 | Jack Roger Williams | Dentist | 23706 Malibu Rd, Malibu, CA 90265 | 2006-08-17 |
| 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 |
| 1265658124 | Jack Owen Williams Jr. | Dentist | 3840 Woodruff Ave, Suite 206, Long Beach, CA 90808 | 2007-04-18 |
| 1598738189 | Jack Brook Williams | Specialist | 5454 Wisconsin Ave, Suite 1535, Chevy Chase, MD 20815-6901 | 2006-02-13 |
| Street Address |
5150 E STOP 11 RD SUITE 11 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-8628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093164535 | Idc Dental Group, Inc. | Dentist | 5150 E Stop 11 Rd, Suite 11, Indianapolis, IN 46237-8628 | 2016-06-06 |
| 1699122945 | Jillian Brady | Dentist | 5150 E Stop 11 Rd, Suite 11, Indianapolis, IN 46237-8628 | 2016-05-17 |
| 1093064016 | Mark W Underwood | Marriage & Family Therapist | 5150 E Stop 11 Rd, Ste 14, Indianapolis, IN 46237-8628 | 2012-09-05 |
| 1558678870 | Bradley M Dobson | Counselor | 5150 E Stop 11 Rd, Indianapolis, IN 46237-8628 | 2010-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| Find all providers in zip 46237 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770194698 | Dental Professionals of In, P.C. | Dentist | 8570 Northwest Blvd, Indianapolis, IN 46278-1383 | 2020-08-13 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1932766508 | Brooke Nichole Scott | Dentist | 5501 E 71st St Ste 3, Indianapolis, IN 46220-3900 | 2019-05-20 |
| 1851875546 | Andrew David Power | Dentist | 5869 Lawton Loop East Drive, Indianapolis, IN 46216 | 2018-09-19 |
| 1639652126 | Gh Dental | Dentist | 6925 S Harding St Ste A, Indianapolis, IN 46217-4114 | 2018-09-11 |
| 1326533068 | Bryce Ashton Chambers | Dentist | 6010 W 86th St Ste 118, Indianapolis, IN 46278-1407 | 2018-06-26 |
| 1932694528 | Mfdc of Indiana, Inc | Dentist | 6225 W 56th St Ste 100, Indianapolis, IN 46254-0002 | 2018-06-26 |
| 1306331905 | Mfdc of Indiana, Inc | Dentist | 5935 S Emerson Ave Ste 200, Indianapolis, IN 46237-1975 | 2018-06-26 |
| 1376037853 | Decatur Family Dentistry LLC | Dentist | 5021 Kentucky Ave Ste G, Indianapolis, IN 46221-3650 | 2018-06-19 |
| 1215420252 | Wesley Kenn Burcham | Dentist | 1481 W 10th St # 160, Indianapolis, IN 46202 | 2018-06-13 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
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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.