DR. MARK J WILLIAMSON (NPI# 1851341945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851341945 |
| Entity Type | Individual |
| Full Name | DR. MARK J WILLIAMSON |
| Credential | D.D.S. |
| Practice Address |
4279 W Vienna Rd Clio MI 48420-9440 |
| Mailing Address |
Po Box 210 Flushing MI 48433-0210 |
| Practice Telephone | 8106591721 |
| Practice Fax Number | 8106590897 |
| Mailing Telephone | 8106594561 |
| Mailing Fax Number | 8106590897 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2019-12-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901013535 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851844260 | Mark Joseph Williamson | Student in an Organized Health Care Education/Training Program | 8210 Floyd Curl Drive, Msc 8103, Ut Health Science Center At San Antonio, San Antonio, TX 78229 | 2016-08-02 |
| 1699743534 | Mark L Williamson | Military Health Care Provider | 3325 Senn Road, Comdesron One Building 55 Second Floor, San Diego, CA 92136 | 2006-03-08 |
| 1245369172 | Mark Kevin Williamson | Dentist | 701 Main St., Britton, SD 57430-0213 | 2007-03-05 |
| 1679685929 | Mark Bascom Williamson | Orthopaedic Surgery | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2006-08-31 |
| 1760591028 | Mark A Williamson | Psychiatry & Neurology | 5901 Long Dr, Houston, TX 77087-1003 | 2006-08-30 |
| Street Address |
4279 W VIENNA RD |
| City | CLIO |
| State | MI |
| Zip Code | 48420-9440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366050619 | Clio Family Dentistry Plc | Dentist | 4279 W Vienna Rd, Clio, MI 48420-9440 | 2020-07-22 |
| 1376908392 | Michigan Dental Sleep Center Inc | Durable Medical Equipment & Medical Supplies | 4279 W Vienna Rd, Clio, MI 48420-9440 | 2015-12-17 |
| 1316099179 | Chad Mark Witkow | Dentist | 4279 W Vienna Rd, Clio, MI 48420-9440 | 2007-01-18 |
| 1326098278 | Ronald A Wright | Dentist | 4279 W Vienna Rd, Clio, MI 48420-9440 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629544382 | Erika Joyclyn Marie Ahmad | Behavioral Analyst | Nation of Wonders Inclusive Education, 19211 Beech Daly, Redford, MI 48420 | 2018-10-22 |
| 1770990335 | Matthew Kanelos | Physician Assistant | 11307 N Linden Rd, B, Clio, MI 48420 | 2014-07-16 |
| 1184968679 | Amd Urgent Medical Care, Pllc | Clinic/Center | 11307 N. Linden Rd Suite B, Clio, MI 48420 | 2012-11-21 |
| 1790032928 | Stephanie Rasmussen | Speech-Language Pathologist | 509 Hidden Creek Trail, Clio, MI 48420 | 2012-08-07 |
| 1386976801 | Kathryn Sue Klamert | Occupational Therapist | 12194 Neff Road, Clio, MI 48420 | 2010-02-09 |
| 1699836346 | Stone Creek Manor | Technician | 609 Stone Creek Pass, Clio, MI 48420 | 2006-12-13 |
| 1518061985 | Visiting Nurse Services of Michigan | Durable Medical Equipment & Medical Supplies | 11493 N. Linden Rd, Clio, MI 48420 | 2006-09-07 |
| 1619084712 | Lorraine Byers-miller | Optometrist | 11493 North Linden Rd, Clio, MI 48420 | 2006-08-24 |
| 1093766370 | Donald Christ Lutz | Podiatrist | 4091 W Vienna Rd, Clio, MI 48420 | 2006-05-12 |
| 1619306875 | Borden S Family Pharmacy LLC | Pharmacy | 415 W Vienna St, Clio, MI 48420 | 2013-11-07 |
| Find all providers in zip 48420 | ||||
| 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 |
|---|---|---|---|---|
| 1902924822 | Frank Gerard Radtke | Dentist | 2128 W Vienna Rd, Clio, MI 48420-2128 | 2007-03-27 |
| 1891730487 | Clio Dental Center | Dentist | 145 W Vienna St, Clio, MI 48420-1333 | 2006-06-18 |
| 1457351298 | Paul J Racine | Dentist | 573 W Vienna St, Clio, MI 48420-5000 | 2005-07-22 |
| 1548870629 | Frank G. Radtke D.d.s., P.C. | Dentist | 2128 W Vienna Rd, Clio, MI 48420-2128 | 2020-08-04 |
| 1366050619 | Clio Family Dentistry Plc | Dentist | 4279 W Vienna Rd, Clio, MI 48420-9440 | 2020-07-22 |
| 1962025791 | Michaela Sue Speckmann | Dentist | 2128 W Vienna Rd, Clio, MI 48420-2128 | 2020-05-27 |
| 1609055151 | Timothy J Miller | Dentist | 145 W Vienna St, Clio, MI 48420-1333 | 2007-11-01 |
| 1316099179 | Chad Mark Witkow | Dentist | 4279 W Vienna Rd, Clio, MI 48420-9440 | 2007-01-18 |
| 1326098278 | Ronald A Wright | Dentist | 4279 W Vienna Rd, Clio, MI 48420-9440 | 2006-05-11 |
| 1891795639 | Kenneth C Ackley II | Dentist | 573 W Vienna St, Clio, MI 48420-5000 | 2005-07-22 |
| Find all providers in CLIO | ||||
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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.