Provider Demographics
NPI:1720298243
Name:DR. CHRISTOPHER WILLIAMS DDS AND DR. MICHAEL A. COLE DDS FAMILY DENTIS
Entity type:Organization
Organization Name:DR. CHRISTOPHER WILLIAMS DDS AND DR. MICHAEL A. COLE DDS FAMILY DENTIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:210-434-8404
Mailing Address - Street 1:2278 BANDERA RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-2162
Mailing Address - Country:US
Mailing Address - Phone:210-434-8404
Mailing Address - Fax:210-433-9150
Practice Address - Street 1:2278 BANDERA RD
Practice Address - Street 2:SUITE B
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-2162
Practice Address - Country:US
Practice Address - Phone:210-434-8404
Practice Address - Fax:210-433-9150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19207122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty