DR. JORDAN NATHANIEL WILLIAMS (NPI# 1891011755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891011755 |
| Entity Type | Individual |
| Full Name | DR. JORDAN NATHANIEL WILLIAMS |
| Credential | DMD |
| Practice Address |
6735 W 95th St Oak Lawn IL 60453-2112 |
| Mailing Address |
534 Elgin Ave Apt 2 Forest Park IL 60130-1923 |
| Practice Telephone | 7085980717 |
| Mailing Telephone | 2178368467 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
019027701 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701093 | Jordan Leigh Williams | Registered Nurse | 6901 E Chauncey Ln Apt 3169, Phoenix, AZ 85054-5146 | 2020-08-19 |
| 1023643541 | Jordan Williams | Specialist/Technologist | 11580 Magnolia Ave, Riverside, CA 92505-7737 | 2020-03-04 |
| 1093356339 | Jordan Williams | Social Worker | 1503 Liatris Ln, North Pole, AK 99705-5082 | 2019-10-07 |
| 1629480512 | Jordan C Williams | Physical Therapist | 460 N Switzer Canyon Dr Ste 400, Flagstaff, AZ 86001-4851 | 2014-05-27 |
| 1689271496 | Jordan Alexandria Williams | Behavior Technician | 3800 Camp Creek Pkwy Sw Ste 100, Atlanta, GA 30331-6247 | 2020-10-05 |
| 1689294274 | Jordan Williams | Pharmacist | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2020-04-23 |
| 1639707334 | Jordan Williams | Student in an Organized Health Care Education/Training Program | 1802 E 19th St, Tulsa, OK 74104-5403 | 2020-03-29 |
| 1962055731 | Jordan Chase Williams | Psychologist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-07-22 |
| 1962063016 | Jordan Kazuo Williams | Physician Assistant | 555 N Arlington Ave, Reno, NV 89503-4723 | 2019-06-27 |
| 1063988343 | Jordan Williams | Physician Assistant | 975 Ryland St Ste 100, Reno, NV 89502-1669 | 2018-10-15 |
| Street Address |
6735 W 95TH ST |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700901196 | Jack W Ruby | Dentist | 6735 W 95th St, Oak Lawn, IL 60453-2112 | 2007-03-21 |
| 1750654281 | Dr.jack Ruby Chartered | Dentist | 6735 W 95th St, Oak Lawn, IL 60453-2112 | 2012-02-14 |
| 1275762668 | Nathan S Hoffman | Dentist | 6735 W 95th St, Oak Lawn, IL 60453-2112 | 2009-07-07 |
| 1720290174 | Bryan Joel Vanoven | Dentist | 6735 W 95th St, Oak Lawn, IL 60453-2112 | 2007-05-05 |
| 1629280086 | Raquel Ruiz Nardi | Dental Hygienist | 6735 W 95th St, Oak Lawn, IL 60453-2112 | 2007-05-05 |
| 1447462171 | Felicia Watt | Dental Hygienist | 6735 W 95th St, Oak Lawn, IL 60453-2112 | 2007-05-04 |
| 1780804542 | Brian D. Ruby | Dentist | 6735 W 95th St, Oak Lawn, IL 60453-2112 | 2007-04-26 |
| 1780803866 | Deborah Zekich | Dentist | 6735 W 95th St, Oak Lawn, IL 60453-2112 | 2007-04-25 |
| 1508085184 | Anita Verma | Dentist | 6735 W 95th St, Oak Lawn, IL 60453-2112 | 2007-04-24 |
| 1679792261 | Barbara T Meyers | Dental Hygienist | 6735 W 95th St, Oak Lawn, IL 60453-2112 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134204324 | Aaron G. Tucke | Dentist | 4435 West 95th Street, Oak Lawn, IL 60453 | 2006-10-26 |
| 1871696922 | William Gustav Flick | Dentist | 6305 W 95th St, Suite 301, Oak Lawn, IL 60453-2255 | 2006-09-06 |
| 1841208147 | Edward L Kasper | Dentist | 4435 W 95th St, Oak Lawn, IL 60453-2625 | 2006-08-03 |
| 1669480851 | Midland Oral Surgery and Implant Centers, Ltd | Dentist | 4435 W. 95th Street, Oak Lawn, IL 60453 | 2006-08-03 |
| 1265516553 | Dennis Paul Morris | Dentist | 6305 W 95th St, Oak Lawn, IL 60453-2255 | 2006-10-24 |
| 1861400129 | Carlo G Pagni | Dentist | 4435 W 95th St, Oak Lawn, IL 60453-2625 | 2006-08-03 |
| 1134137474 | Wilson P Heaton | Dentist | 4435 W 95th St, Oak Lawn, IL 60453-2625 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255986576 | Othman Rezki | Dentist | 1900 W Polk St # 611, Chicago, IL 60612-3723 | 2019-08-04 |
| 1215410584 | David Peterson | Dentist | 1619 Brandywine Ln, Dixon, IL 61021-8757 | 2018-09-12 |
| 1952887374 | Winnebago Braces, LLC. | Dentist | 555 N Court St Ste 110, Rockford, IL 61103-6898 | 2018-07-18 |
| 1093232951 | Robert C. Bosack, Dds & Associates, Ltd | Dentist | 16011 108th Ave Ste A, Orland Park, IL 60467-8787 | 2017-08-23 |
| 1790146132 | Family Millennium Dentistry, Inc. | Dentist | 1342 W Randolph St, Chicago, IL 60607-1522 | 2016-03-13 |
| 1770962375 | Eunsu Jung | Dentist | 1902 N Prospect Ave Ste 1, Champaign, IL 61822-1411 | 2015-05-28 |
| 1811374945 | Alexandria Hawkins | Dentist | 6050 Brynwood Dr Ste 102, Rockford, IL 61114-6579 | 2015-04-27 |
| 1043607872 | Alissa Nicole Pullos | Dentist | 105 E 1st St Ste 103, Hinsdale, IL 60521 | 2015-04-20 |
| 1538592654 | Matthew Seena Hamedani | Dentist | 3116 Oak Park Ave, Berwyn, IL 60402 | 2013-08-13 |
| 1578907689 | M Timothy Murphy | Dentist | 500 Davis St Ste 509, Evanston, IL 60201-4621 | 2013-04-18 |
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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.