Provider Demographics
NPI:1013039940
Name:WILLIAMS, YOLANDA ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:ANN
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 1:901 W GLORIA SWITCH RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70507-2309
Mailing Address - Country:US
Mailing Address - Phone:337-886-1246
Mailing Address - Fax:337-886-1277
Practice Address - Street 1:901 W GLORIA SWITCH RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70507-2309
Practice Address - Country:US
Practice Address - Phone:337-886-1246
Practice Address - Fax:337-886-1277
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA39031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice