Healthcare Provider Details

I. General information

NPI: 1619177854
Provider Name (Legal Business Name): NAHEE WILLIAMS MCDONALD DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NAHEE N WILLIAMS DDS

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 10/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7841 ROLLING ROAD SUITE F
SPRINGFIELD VA
22153
US

IV. Provider business mailing address

7841 ROLLING ROAD SUITE F
SPRINGFIELD VA
22153
US

V. Phone/Fax

Practice location:
  • Phone: 703-455-1339
  • Fax:
Mailing address:
  • Phone: 703-455-1339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number0401411394
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number13592
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDEN1000702
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: