Provider Demographics
NPI:1124728381
Name:ALFONZA H. WILLIAMSON JR. DDS PLLC
Entity type:Organization
Organization Name:ALFONZA H. WILLIAMSON JR. DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:JONES
Authorized Official - Last Name:PENNINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-886-4161
Mailing Address - Street 1:231 PLAZA LN STE 101
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27263-2494
Mailing Address - Country:US
Mailing Address - Phone:336-886-4161
Mailing Address - Fax:
Practice Address - Street 1:231 PLAZA LN STE 101
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27263-2494
Practice Address - Country:US
Practice Address - Phone:336-886-4161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental