NPI Code Details Logo

NPI 1376469031

NPI 1376469031 : TYLER WILLIAMS DDS : CLINTON, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1376469031
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    TYLER WILLIAMS DDS
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/26/2026
-----------------------------------------------------
    Last Update Date     |    06/26/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8913 WOODYARD RD # B 
-----------------------------------------------------
    City                 |    CLINTON
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20735-4257
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    301-246-8404
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    731 SEATON AVE UNIT 531 
-----------------------------------------------------
    City                 |    ALEXANDRIA
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    22305-3072
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1223G0001X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Dentistry
-----------------------------------------------------
    License Number       |    18754
-----------------------------------------------------
    License Number State |    MD
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.