MEDICARE: WILLIAMS DENTISTRY PLLC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1114893179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAMS DENTISTRY PLLC

Provider Business Mailing Address
First Line	:	6256 ARALIA IVY LN
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-9536
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 US HIGHWAY 441/27
Second Line	:
City	:	FRUITLAND PARK
State	:	FL
Zip	:	34731-4478
Country	:	US
Telephone Number	:	352-801-7779
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HANIEF GEORGE WILLIAMS JR.
Credential	:	DMD
Telephone Number	:	203-524-8854

Provider Enumeration Date	:	10/15/2025
Last Update Date	:	10/15/2025

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Directions to “WILLIAMS DENTISTRY PLLC ” Practice Location

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