Provider Demographics
NPI:1215157607
Name:WILLIAMS, DAVID N (DDS PA)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:N
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DDS PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 AMBIANCE LANE
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518
Mailing Address - Country:US
Mailing Address - Phone:919-233-3539
Mailing Address - Fax:
Practice Address - Street 1:1010 HIGH HOUSE RD
Practice Address - Street 2:STE 102
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-3576
Practice Address - Country:US
Practice Address - Phone:919-467-5553
Practice Address - Fax:919-469-1722
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5063122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist