MEDICARE: MEREDITH ANN WILLIAMS DDS, MS

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	35997	TX

General Provider Information

NPI Number	:	1477175917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEREDITH ANN WILLIAMS DDS, MS

Provider Business Mailing Address
First Line	:	7447 CAMBRIDGE ST APT 62
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2019
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5215 FM 1463 RD STE 700
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-7437
Country	:	US
Telephone Number	:	713-705-0732
Fax Number	:

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

Provider Enumeration Date	:	05/06/2020
Last Update Date	:	05/06/2020

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