Provider Demographics
NPI:1003929076
Name:WILLIAMS, STEPHEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:
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 1:11734 BARKER CYPRESS RD
Mailing Address - Street 2:#113
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-2289
Mailing Address - Country:US
Mailing Address - Phone:281-256-8771
Mailing Address - Fax:281-256-8297
Practice Address - Street 1:11734 BARKER CYPRESS RD
Practice Address - Street 2:#113
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-2289
Practice Address - Country:US
Practice Address - Phone:281-256-8771
Practice Address - Fax:281-256-8297
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11741122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist