Healthcare Provider Details

I. General information

NPI: 1437464393
Provider Name (Legal Business Name): SHENICE L WILLIAMS DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2010
Last Update Date: 08/13/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 W 6TH STREET
FORT STEWART GA
31314-5641
US

IV. Provider business mailing address

36000 DARNALL LOOP STE 1055
FORT HOOD TX
76544-5095
US

V. Phone/Fax

Practice location:
  • Phone: 571-801-6829
  • Fax:
Mailing address:
  • Phone: 773-209-2383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number25889
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number25889
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: