MEDICARE: DR. DAVID ALLAN WILLIAMS D.D.S.

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		IL

General Provider Information

NPI Number	:	1336178052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ALLAN WILLIAMS D.D.S.

Provider Business Mailing Address
First Line	:	666 DUNDEE RD
Second Line	:	SUITE 801
City	:	NORTHBROOK
State	:	IL
Zip	:	60062-2727
Country	:	US
Telephone Number	:	847-291-0555
Fax Number	:	847-291-6933

Provider Business Practice Location Address
First Line	:	666 DUNDEE RD
Second Line	:	SUITE 801
City	:	NORTHBROOK
State	:	IL
Zip	:	60062-2727
Country	:	US
Telephone Number	:	847-291-0555
Fax Number	:	847-291-6933

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

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	07/21/2022

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