MEDICARE: DR. AARON M. 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	122300000X	Dentist	D1504	SD
2	122300000X	Dentist	DDS-10408	IA
3	122300000X	Dentist	7137	NE
4	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DE60453832	WA

General Provider Information

NPI Number	:	1366715120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AARON M. WILLIAMS D.D.S.

Provider Business Mailing Address
First Line	:	4224 SERGEANT RD
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51106-4600
Country	:	US
Telephone Number	:	712-276-2766
Fax Number	:

Provider Business Practice Location Address
First Line	:	4224 SERGEANT RD
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51106-4600
Country	:	US
Telephone Number	:	712-276-2766
Fax Number	:

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

Provider Enumeration Date	:	02/09/2012
Last Update Date	:	01/20/2026

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