Provider Demographics
NPI:1992972228
Name:GEORGE W. WILLIAMS, DDS, INC
Entity type:Organization
Organization Name:GEORGE W. WILLIAMS, DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMI
Authorized Official - Middle Name:A
Authorized Official - Last Name:UTSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-224-1311
Mailing Address - Street 1:720 W GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:CHICKASHA
Mailing Address - State:OK
Mailing Address - Zip Code:73018-5743
Mailing Address - Country:US
Mailing Address - Phone:405-224-1311
Mailing Address - Fax:
Practice Address - Street 1:720 W GRAND AVE
Practice Address - Street 2:
Practice Address - City:CHICKASHA
Practice Address - State:OK
Practice Address - Zip Code:73018-5743
Practice Address - Country:US
Practice Address - Phone:405-224-1311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK36091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty