JACK ROGER WILLIAMS DDS
NPI 1356454722
Dentist - General Practice in Malibu, CA

Q: What is Jack Williams's NPI number?

The NPI number for Jack Williams is 1356454722. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Q: What is Jack Williams's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Williams was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 17, 2006

23706 MALIBU RD, MALIBU, CA 90265(310) 456-6497(310) 456-5902 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jack Roger Williams Dds NPPES

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

JACK ROGER WILLIAMS DDS (NPI 1356454722) is an individual general practice provider in Malibu, California, licensed in California (21079) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1356454722

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJACK ROGER WILLIAMSCredential: DDS

Location Address23706 MALIBU RDMalibu, CA 90265

Mailing Address23706 Malibu RdMalibu, CA 90265 · (310) 456-6497 · Fax (310) 456-5902

Phone(310) 456-6497

Fax(310) 456-5902

Sole ProprietorNo

Enumeration DateAugust 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1356454722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 21079

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.

23706 MALIBU RD, Malibu, CA 90265

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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 Jack Williams's NPI number?

The NPI number for Jack Williams is 1356454722. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Jack Williams located?

Jack Williams practices at 23706 Malibu Rd, Malibu, CA 90265. The listed phone number is (310) 456-6497.

What is Jack Williams's specialty?

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

When was this NPI record last updated?

The NPPES record for Jack Williams was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.