MEDICARE: K. SCOTT WILLIAMS, D.D.S., PA

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

General Provider Information

NPI Number	:	1225158413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	K. SCOTT WILLIAMS, D.D.S., PA

Provider Business Mailing Address
First Line	:	333 N ALLEN DR
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-2539
Country	:	US
Telephone Number	:	972-727-1901
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	:	972-727-1901
Fax Number	:	972-727-2320

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KENNETH SCOTT WILLIAMS
Credential	:	D.D.S.
Telephone Number	:	972-727-1901

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	08/22/2020

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