Provider Demographics
NPI:1164796025
Name:WILLIAMS, CURTIS LEVY SR (DDS)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:LEVY
Last Name:WILLIAMS
Suffix:SR
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 1:4302 SAINT BARNABAS RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-1842
Mailing Address - Country:US
Mailing Address - Phone:301-630-5502
Mailing Address - Fax:301-630-0287
Practice Address - Street 1:4302 SAINT BARNABAS RD
Practice Address - Street 2:SUITE F
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-1842
Practice Address - Country:US
Practice Address - Phone:301-630-5502
Practice Address - Fax:301-630-0287
Is Sole Proprietor?:No
Enumeration Date:2012-02-23
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD77791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice