Healthcare Provider Details

I. General information

NPI: 1417694845
Provider Name (Legal Business Name): STEVE AND HARLEY WILLIAMS DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2022
Last Update Date: 05/02/2023
Certification Date: 05/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 E STANLEY BLVD STE C
LIVERMORE CA
94550-4050
US

IV. Provider business mailing address

999 E STANLEY BLVD STE C
LIVERMORE CA
94550-4050
US

V. Phone/Fax

Practice location:
  • Phone: 925-371-0300
  • Fax:
Mailing address:
  • Phone: 925-371-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VIII. Authorized Official

Name: VICENTA REYES
Title or Position: LEAD OF CREDENTIALING
Credential:
Phone: 972-869-3789