MEDICARE: DR. BENJAMIN ALLEN WILLIAMS DDS, 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	3741	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3741	OTHER	NC	LICENSE #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265550156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN ALLEN WILLIAMS DDS, PA

Provider Business Mailing Address
First Line	:	319 N COLLEGE DR
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27260-4128
Country	:	US
Telephone Number	:	336-886-4161
Fax Number	:	336-886-8372

Provider Business Practice Location Address
First Line	:	319 N COLLEGE DR
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27260-4128
Country	:	US
Telephone Number	:	336-886-4161
Fax Number	:	336-886-8372

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

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	07/09/2007

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