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NPI Code Detail

MEDICARE: PHILIP DWIGHT WILLIAMS II DDS

MEDICARE: PHILIP DWIGHT WILLIAMS II 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
1122300000XDentist054074NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104073964
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP DWIGHT WILLIAMS II DDS
Provider Business Mailing Address
First Line : 6350 TRANSIT RD
Second Line :
City : DEPEW
State : NY
Zip : 14043-1039
Country : US
Telephone Number : 716-206-0718
Fax Number :
Provider Business Practice Location Address
First Line : 6350 TRANSIT RD
Second Line :
City : DEPEW
State : NY
Zip : 14043-1039
Country : US
Telephone Number : 716-206-0718
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2008
Last Update Date : 02/06/2026

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