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RALEIGH COMPREHENSIVE & COSMETIC DENTISTRY
NPI 1093850992
Dentist - General Practice in Raleigh, NC

Active since February 20, 2007CLIA 34D2191423 · Waiver
119 N BOYLAN AVE, RALEIGH, NC 27603(919) 828-3775 Get Directions Write a Review

NPPES record last updated: October 14, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Raleigh Comprehensive & Cosmetic Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RALEIGH COMPREHENSIVE & COSMETIC DENTISTRY (NPI 1093850992) is a healthcare organization registered as a general practice in Raleigh, North Carolina and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 26, 2026 and lists Nancy Campbell, Operation Director, as its authorized official.

NPPES Registry Identity

NPI1093850992
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameROBERT L WILLIAMSON III DDS 4 PA
Location Address119 N BOYLAN AVERaleigh, NC 27603-1445
Mailing AddressPo Box 10401Raleigh, NC 27605-0401 · (919) 828-3775
Phone(919) 828-3775
Organization SubpartNo
Authorized OfficialNancy CampbellOperation Director · (919) 828-3775
Enumeration DateFebruary 20, 2007
Last NPPES UpdateOctober 14, 2015
✔ NPI 1093850992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 7038
Definition
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.
119 N BOYLAN AVE, Raleigh, NC 27603
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Other Names 1

Doing Business AsRaleigh Comprehensive & Cosmetic Dentistry

Other Identifiers 1

Medicaid5902049NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2191423

Raleigh Comprehensive & Cosmetic Dentistry · Raleigh, NC
Active · expires Aug 26, 2026
CLIA Number34D2191423
Laboratory TypePractitioner Other
Certificate Effective DateAugust 27, 2024
Certificate Expiration DateAugust 26, 2026
Laboratory DirectorRobert L. Williamson III
Laboratory Phone(919) 828-3775
Laboratory LocationRaleigh Comprehensive & Cosmetic Dentistry119 N Boylan Avenue, Raleigh, NC 27603
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANAKI BAROT GAJJAR DDS
Dentist (General Practice)
119 N BOYLAN AVE
RALEIGH, NC 27603
Wake County (919) 828-3775
ROBERT L WILLIAMSON III DDS
Dentist (General Practice)
119 N BOYLAN AVE
RALEIGH, NC 27603
Wake County (919) 828-3775
DR. LAURA ELIZABETH GODWIN D.D.S.
Dentist
119 N BOYLAN AVE
RALEIGH, NC 27603
Wake County (919) 522-7720
VRAJ GAJJAR DDS PLLC
Dentist (General Practice)
119 N BOYLAN AVE
RALEIGH, NC 27603
Wake County (919) 828-3775
ROBERT L WILLIAMSON III DDS2
Dentist
119 N BOYLAN AVE, B
RALEIGH, NC 27603
Wake County (919) 755-3748
DR. VRAJ GAJJAR DDS
Dentist (General Practice)
119 N BOYLAN AVE
RALEIGH, NC 27603
Wake County (757) 679-5559

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert L Williamson III Dds 4 PA's NPI number?

The NPI number for Robert L Williamson III Dds 4 PA is 1093850992. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is doing business as Raleigh Comprehensive & Cosmetic Dentistry.

Where is Robert L Williamson III Dds 4 PA located?

Robert L Williamson III Dds 4 PA is located at 119 N Boylan Ave, Raleigh, NC 27603. The listed phone number is (919) 828-3775.

What is Robert L Williamson III Dds 4 PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does Robert L Williamson III Dds 4 PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2191423) is associated with this NPI, valid through August 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Robert L Williamson III Dds 4 PA was last updated on October 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.