MEDICARE: PAUL FRANCIS WILLIAMS JR. DDS

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	13157	TX

General Provider Information

NPI Number	:	1457555468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL FRANCIS WILLIAMS JR. DDS

Provider Business Mailing Address
First Line	:	6300 W PARKER RD
Second Line	:	SUITE 223
City	:	PLANO
State	:	TX
Zip	:	75093-8102
Country	:	US
Telephone Number	:	972-881-8653
Fax Number	:	972-981-8655

Provider Business Practice Location Address
First Line	:	6300 W PARKER RD
Second Line	:	SUITE 223
City	:	PLANO
State	:	TX
Zip	:	75093-8102
Country	:	US
Telephone Number	:	972-881-8653
Fax Number	:	972-981-8655

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

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	07/08/2007

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