DR. RAPHAEL IVAN WILLIAMS (NPI# 1003021833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003021833 |
Entity Type | Individual |
Full Name | DR. RAPHAEL IVAN WILLIAMS |
Credential | D.D.S. |
Practice Address |
8515 Delmar Blvd 217 Saint Louis MO 63124-2168 |
Practice Telephone | 3149938879 |
Mailing Telephone | 3149938879 |
Enumeration Date | 2007-05-14 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
474 | MO | Dental Providers |
Street Address |
8515 DELMAR BLVD 217 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63124-2168 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528038213 | Rehabguard, Inc | Durable Medical Equipment & Medical Supplies | 8515 Delmar Blvd, Suite 225, Saint Louis, MO 63124-2168 | 2006-01-25 |
1871761957 | Mills Cardiology | Internal Medicine | 8515 Delmar Blvd, Ste.208, Saint Louis, MO 63124-2168 | 2008-02-12 |
1598882631 | Daniel Levin | Psychologist | 8515 Delmar Blvd, Suite 220, Saint Louis, MO 63124-2168 | 2007-03-23 |
1477634541 | Tillet J Mills | Internal Medicine | 8515 Delmar Blvd, Suite 208, Saint Louis, MO 63124-2168 | 2006-10-17 |
1750461729 | Cheree Trent Mills | Internal Medicine | 8515 Delmar Blvd, Suite 208, Saint Louis, MO 63124-2168 | 2006-10-16 |
1831296649 | Kenneth H Bohm | Psychologist | 8515 Delmar Blvd, Suite 220, Saint Louis, MO 63124-2168 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174174775 | Nicholas Simpson | Nurse Practitioner | 8857 Ladue Road, St. Louis, MO 63124 | 2019-09-25 |
1144774647 | Carolyn Ashley Myles Versical | Psychologist | 26 Godwin Ln, Saint Louis, MO 63124 | 2016-08-12 |
1740669373 | Victor's Home Care Cds, LLC | Hospice Care, Community Based | 8420 Delmar Blvd, Ste 507, St. Louis, MO 63124 | 2015-05-28 |
1851784490 | Bryan Watanabe Dds Ladue Dental Group, PC | Dentist | 8859 Ladue Road, Ladue, MO 63124 | 2015-03-06 |
1689072324 | Ladue Internal Medicine, LLC | Internal Medicine | 8857 A Ladue Rd., Ladue, MO 63124 | 2014-12-11 |
1043557150 | Ronald Nathan Riner | Internal Medicine | 9847 Waterbury Drive, St. Louis, MO 63124 | 2013-01-09 |
1295099638 | David Stuart Sonderman | Pediatrics | 8888 Ladue Road, Ste 100, Saint Louis, MO 63124 | 2012-06-29 |
1255637799 | Kyu S Her | Pediatrics | 624 Haverford Road, St. Louis, MO 63124 | 2011-02-01 |
1194983833 | Roberte Kuhlman | Orthopaedic Surgery | 12 Upper Barnes, St Louis, MO 63124 | 2008-05-29 |
1467507673 | Mark William Aylward | Dentist | 9216 Clayton Road, Suite 118, St Louis, MO 63124 | 2007-01-25 |
Find all providers in zip 63124 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
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. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598988909 | Matthew Shelby Slaven | Dentist | 3555 Sunset Office Dr Ste C105, Saint Louis, MO 63127-1014 | 2007-04-11 |
1093737264 | William Cohen | Dentist | 777 S New Ballas Rd Ste 217w, Saint Louis, MO 63141-8717 | 2006-07-24 |
1912528548 | Parth Mangrola | Dentist | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2020-05-05 |
1871756130 | David Douglas Miley | Dentist | 1034 S Brentwood Blvd, Suite 740, Saint Louis, MO 63117-1223 | 2008-07-08 |
1124212790 | Periodontics Ltd | Dentist | 3555 Sunset Office Dr Ste C105, Saint Louis, MO 63127-1014 | 2007-08-28 |
1164623963 | William B Albair | Dentist | 3555 Sunset Office Dr, Suite C-105, Saint Louis, MO 63127-1015 | 2007-05-30 |
1417166000 | Mary Hagan Burke | Dentist | 5600 Oakland Ave, Dental Hygiene St Louis Community College-forest Park, Saint Louis, MO 63110-1393 | 2007-05-21 |
1720290372 | Deshmukh Dds, PC | Dentist | 1034 S Brentwood Blvd, Suite #740, Saint Louis, MO 63117-1223 | 2007-05-04 |
1174746564 | George V Duello | Dentist | 3555 Sunset Office Dr, Suite C105, Saint Louis, MO 63127-1015 | 2007-04-11 |
1861523581 | Marwan Assaf | Dentist | 11709 Old Ballas Rd, Suite 206, Saint Louis, MO 63141-7029 | 2007-03-07 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63124 |
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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.