Provider Demographics
NPI:1992955413
Name:WILLIAMS, WINDY (DDS)
Entity type:Individual
Prefix:DR
First Name:WINDY
Middle Name:
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 1:60 LOWELL ST
Mailing Address - Street 2:
Mailing Address - City:RUMFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04276-2064
Mailing Address - Country:US
Mailing Address - Phone:207-369-3600
Mailing Address - Fax:207-369-3604
Practice Address - Street 1:60 LOWELL ST
Practice Address - Street 2:
Practice Address - City:RUMFORD
Practice Address - State:ME
Practice Address - Zip Code:04276-2064
Practice Address - Country:US
Practice Address - Phone:207-369-3600
Practice Address - Fax:207-369-3604
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDEN4119122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist