Provider Demographics
NPI:1215159066
Name:WILLIAMS, ALAN C (DDS)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:C
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10711 BURNET RD
Mailing Address - Street 2:STE. 300
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-4457
Mailing Address - Country:US
Mailing Address - Phone:512-837-7766
Mailing Address - Fax:512-837-6104
Practice Address - Street 1:10711 BURNET RD
Practice Address - Street 2:STE. 300
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-4457
Practice Address - Country:US
Practice Address - Phone:512-837-7766
Practice Address - Fax:512-837-6104
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16,0261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice