Provider Demographics
NPI:1396240123
Name:WILLIAMS, UNIQUE T (DDS)
Entity type:Individual
Prefix:DR
First Name:UNIQUE
Middle Name:T
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13601 PRESTON RD STE 309W
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-4923
Mailing Address - Country:US
Mailing Address - Phone:972-387-2244
Mailing Address - Fax:985-345-5088
Practice Address - Street 1:13601 PRESTON RD STE 309W
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-4923
Practice Address - Country:US
Practice Address - Phone:972-387-2244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-25
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA69501223G0001X
TX359961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice