DR. ANDRE L WILLIAMS JR. DDS
NPI 1497905145
Dentist - General Practice in Twentynine Palms, CA

Active since September 30, 2008PECOS Enrolled
1591 GRIFFIN ROAD, TWENTYNINE PALMS, CA 92278(760) 830-7663 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2025, Aug 22, 2023, Nov 30, 2022 (3 updates tracked since 2022).

About Dr. Andre L Williams Jr. Dds NPPES

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

DR. ANDRE L WILLIAMS JR. DDS (NPI 1497905145) is an individual general practice provider in Twentynine Palms, California, licensed in Virginia (0401412312) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497905145
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANDRE L WILLIAMS JR.Credential: DDS
Location Address1591 GRIFFIN ROADTwentynine Palms, CA 92278
Mailing Address1591 Griffin RoadTwentynine Palms, CA 92278
Sole ProprietorYes
Enumeration DateSeptember 30, 2008
Last NPPES UpdateJanuary 8, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
NPI 1497905145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in VA · 0401412312
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.
1591 GRIFFIN ROAD, Twentynine Palms, CA 92278

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Andre L Williams Jr. Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92278 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

Dentist
1591 GRIFFIN ROAD
TWENTYNINE PALMS, CA 92278
Dentist (General Practice)
1591 GRIFFIN ROAD
TWENTYNINE PALMS, CA 92278
Dentist (General Practice)
1591 GRIFFIN ROAD
TWENTYNINE PALMS, CA 92278
Dentist (General Practice)
1591 GRIFFIN ROAD
FPO, AA 92278
Dentist
1591 GRIFFIN ROAD, 23RD DENTAL COMPANY
TWENTYNINE PALMS, CA 92278
Dentist (Endodontics)
1591 GRIFFIN ROAD
TWENTYNINE PALMS, CA 92278
Military Health Care Provider
1591 GRIFFIN ROAD, 23RD DENTAL COMPANY
TWENTYNINE PALMS, CA 92278
Dentist (General Practice)
1591 GRIFFIN ROAD
TWENTYNINE PALMS, CA 92278

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 Andre Williams's NPI number?

The NPI number for Andre Williams is 1497905145. It was assigned to this individual provider in the NPPES registry on September 30, 2008.

Where is Andre Williams located?

Andre Williams practices at 1591 Griffin Road, Twentynine Palms, CA 92278. The listed phone number is (760) 830-7663.

What is Andre Williams's specialty?

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

Is Andre Williams enrolled in Medicare?

Yes. Andre Williams is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andre Williams was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.