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NPI Code Detail

MEDICARE: WILLIAMS DENTAL ASSOCIATES NORTH

MEDICARE: WILLIAMS DENTAL ASSOCIATES NORTH
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
11223G0001XGeneral Practice Dentistry8495TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1296003OTHERTXUNITED HEALTHCARE
2865491OTHERTXUNITED CONCORDIA
396DLOTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1437243631
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLIAMS DENTAL ASSOCIATES NORTH
Provider Business Mailing Address
First Line : PO BOX 462
Second Line :
City : FERRIS
State : TX
Zip : 75125-0462
Country : US
Telephone Number : 972-842-5707
Fax Number : 972-842-5324
Provider Business Practice Location Address
First Line : 3001 KNOX ST
Second Line : SUITE 300
City : DALLAS
State : TX
Zip : 75205-5584
Country : US
Telephone Number : 214-265-7771
Fax Number : 214-219-1098
Authorized Official
Title or Position : DENTIST/OWNER
Name : DR. CHARLES IVAN WILLIAMS SR.
Credential : DDS
Telephone Number : 214-265-7771
Provider Enumeration Date : 10/03/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1730172347 — DR. JAMES DOUGLAS BATES D.D.S., M.D.
Practice Location Address:
3001 KNOX ST , SUITE 301
DALLAS, TX
75205-5584
Practice Phone: 214-824-8960
Practice Fax: 214-824-8984
1780692376 — DR. CHARLES IVAN WILLIAMS SR. D.D.S.
Practice Location Address:
3001 KNOX ST , SUITE #300
DALLAS, TX
75205-5584
Practice Phone: 214-265-7771
Practice Fax: 214-219-1098
1316957954 — DR. MONIKA MCJUNKIN DAVIS D.D.S.
Practice Location Address:
3001 KNOX ST , SUITE 300
DALLAS, TX
75205-5584
Practice Phone: 214-265-7771
Practice Fax: 214-219-1098
1750449328 — DR. DERRICK ASKINS D.D.S
Practice Location Address:
3001 KNOX ST , SUITE 300
DALLAS, TX
75205-5584
Practice Phone: 214-265-7771
Practice Fax:
1881850766 — TEXAS ORAL AND MAXILLOFACIAL SURGERY, P.A.
Practice Location Address:
3001 KNOX ST , SUITE 301
DALLAS, TX
75205-5584
Practice Phone: 214-824-8960
Practice Fax: 214-824-8984
1215885835 — LATONYA WILLIAMS
Practice Location Address:
3100 MONTICELLO AVE STE 210
DALLAS, TX
75205-3753
Practice Phone: 918-895-7680
Practice Fax:

Directions to “WILLIAMS DENTAL ASSOCIATES NORTH ” Practice Location

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