Provider Type Icon

BENJAMIN D WILLIAMS DENTAL GROUP LLC NPI 1942458286


NPI Information

NPI: 1942458286
Provider Name: BENJAMIN D WILLIAMS DENTAL GROUP LLC

Former Legal Business Name: SHANNON R THOMAS DMD

Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
1715 GOLDEN SPRINGS ROAD
ANNISTON, AL
ZIP 36207
Phone: (256) 231-0077
Get Directions

BENJAMIN D WILLIAMS DENTAL GROUP LLC is a periodontics dentist in Anniston, AL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. BENJAMIN D WILLIAMS DENTAL GROUP LLC NPI is 1942458286. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Shannon R Thomas Dmd.

The provider's business location address is:

1715 GOLDEN SPRINGS ROAD
ANNISTON, AL
ZIP 36207
Phone: (256) 231-0077
Fax: (256) 231-0866

The provider's authorized official is Benjamin D Williams .
The authorized official title is Owner and has the following contact phone number (256) 231-0077.

The enumeration date for this NPI number is 8/28/2008 and was last updated on 6/7/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDental4736ALABAMANo
21223P0300XDentistPeriodonticsAL4736ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1510-10222OTHERALABAMABLUE CROSS BLUE SHIELD OF AL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.