MEDICARE: DR. CECILIA MARIA WILLIAMS-NELSON DDS.

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	1223G0001X	General Practice Dentistry	11404	MD

General Provider Information

NPI Number	:	1437226131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CECILIA MARIA WILLIAMS-NELSON DDS.

Provider Business Mailing Address
First Line	:	6480 NEW HAMPSHIRE AVE
Second Line	:	SUITE 302
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-4716
Country	:	US
Telephone Number	:	301-270-9501
Fax Number	:	301-270-2715

Provider Business Practice Location Address
First Line	:	6480 NEW HAMPSHIRE AVE
Second Line	:	SUITE 302
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-4716
Country	:	US
Telephone Number	:	301-270-9501
Fax Number	:	301-270-2715

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

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	11/30/2017

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