Healthcare Provider Details

I. General information

NPI: 1043149990
Provider Name (Legal Business Name): EMILY WILLIAMS DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 LIBERTY ST
NORTH JACKSON OH
44451-8706
US

IV. Provider business mailing address

8521 YERKE YOUNG RD
MINERAL RIDGE OH
44440-8715
US

V. Phone/Fax

Practice location:
  • Phone: 330-538-3304
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30.028414
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: