Provider Demographics
NPI:1013190255
Name:WILLIAMS, HARLEY JILL (DMD)
Entity Type:Individual
Prefix:DR
First Name:HARLEY
Middle Name:JILL
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 E STANLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-4002
Mailing Address - Country:US
Mailing Address - Phone:925-371-0300
Mailing Address - Fax:925-371-0800
Practice Address - Street 1:999 E STANLEY BLVD
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4002
Practice Address - Country:US
Practice Address - Phone:925-371-0300
Practice Address - Fax:925-371-0800
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-11
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA391091223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics