Provider Demographics
NPI:1427267087
Name:WILLIAMS, CRAIG BERRY ALBERT (DDS)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:BERRY ALBERT
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 1:2855 CANDLER RD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-1415
Mailing Address - Country:US
Mailing Address - Phone:404-243-3210
Mailing Address - Fax:404-243-1690
Practice Address - Street 1:2855 CANDLER RD
Practice Address - Street 2:SUITE 12
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-1415
Practice Address - Country:US
Practice Address - Phone:404-243-3210
Practice Address - Fax:404-243-1690
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0109761223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics