LEONARD DAVID WILLIAMS IV DDS-PC
NPI 1922782218
Clinic/Center - Dental in Southport, NC

Active since June 15, 2023
621A N FODALE AVE, SOUTHPORT, NC 28461(910) 457-5026 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leonard David Williams Iv Dds-pc NPPES

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

LEONARD DAVID WILLIAMS IV DDS-PC (NPI 1922782218), doing business as Southport Dental, is a healthcare organization registered as a dental in Southport, North Carolina and active in the NPI registry since June 2023. The organization lists Leonard David Williams, President, as its authorized official.

NPPES Registry Identity

NPI1922782218
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLEONARD DAVID WILLIAMS IV DDS-PC
Location Address621A N FODALE AVESouthport, NC 28461-3550
Mailing Address621a N Fodale AveSouthport, NC 28461-3550 · (910) 457-5026
Organization SubpartNo
Authorized OfficialLeonard David WilliamsPresident · (316) 323-7933
Enumeration DateJune 15, 2023
NPPES CertifiedJune 15, 2023
NPI 1922782218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
621A N FODALE AVE, Southport, NC 28461

Other Names 1

Doing Business AsSouthport Dental

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
621A N FODALE AVE
SOUTHPORT, NC 28461
Dentist (General Practice)
621A N FODALE AVE
SOUTHPORT, NC 28461
Dentist
621A N FODALE AVE
SOUTHPORT, NC 28461
Dentist (General Practice)
621A N FODALE AVE
SOUTHPORT, NC 28461

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 Leonard David Williams IV Dds-Pc's NPI number?

The NPI number for Leonard David Williams IV Dds-Pc is 1922782218. It was assigned to this organization in the NPPES registry on June 15, 2023. The provider is doing business as Southport Dental.

Where is Leonard David Williams IV Dds-Pc located?

Leonard David Williams IV Dds-Pc is located at 621A N Fodale Ave, Southport, NC 28461. The listed phone number is (910) 457-5026.

What is Leonard David Williams IV Dds-Pc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Leonard David Williams IV Dds-Pc was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.