MEDICARE: DR. CARL ANDREW WILLIAMSON D.M.D., M.S.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	9332	TN

General Provider Information

NPI Number	:	1073773594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARL ANDREW WILLIAMSON D.M.D., M.S.D.

Provider Business Mailing Address
First Line	:	2055 WALL ST
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-4209
Country	:	US
Telephone Number	:	615-614-2424
Fax Number	:	615-614-2426

Provider Business Practice Location Address
First Line	:	2055 WALL STREET
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174
Country	:	US
Telephone Number	:	615-614-1258
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2008
Last Update Date	:	01/25/2024

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