MEDICARE: DR. JAMES E. WILLIAMS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	13824	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13824	OTHER	TX	TEXAS STATE LIC. #
2	X0052259	OTHER	TX	TEXAS DEPT. OF PUBLIC SAF

General Provider Information

NPI Number	:	1063520153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES E. WILLIAMS DDS

Provider Business Mailing Address
First Line	:	333 N ALLEN DR
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-2539
Country	:	US
Telephone Number	:	972-727-8217
Fax Number	:	972-727-2320

Provider Business Practice Location Address
First Line	:	333 N ALLEN DR
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-2539
Country	:	US
Telephone Number	:	972-727-8217
Fax Number	:	972-727-2320

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	03/07/2023

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