MEDICARE: DR. MATTHEW ALAN WILLIAMS D.M.D.

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	18403	TX
2	122300000X	Dentist	5983	KY
3	1223D0001X	Public Health Dentistry	18403	TX

General Provider Information

NPI Number	:	1457494809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW ALAN WILLIAMS D.M.D.

Provider Business Mailing Address
First Line	:	11130 QUAIL RISE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-3334
Country	:	US
Telephone Number	:	210-690-1843
Fax Number	:

Provider Business Practice Location Address
First Line	:	7430 LOUIS PASTEUR DR
Second Line	:	TX DEPT. OF STATE HEALTH SERVICES, ORAL HEALTH PROGRAM
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4507
Country	:	US
Telephone Number	:	210-949-2124
Fax Number	:	210-949-2041

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

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	09/11/2025

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