Healthcare Provider Details

I. General information

NPI: 1336268077
Provider Name (Legal Business Name): ROBERT C WILLIAMS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 ANGWIN PLAZA
ANGWIN CA
94508
US

IV. Provider business mailing address

3212 JEFFERSON ST. SUITE 196
NAPA CA
94558
US

V. Phone/Fax

Practice location:
  • Phone: 707-965-2479
  • Fax: 707-965-0427
Mailing address:
  • Phone: 707-255-8825
  • Fax: 707-252-9325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number21293
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: