Provider Demographics
NPI:1184680688
Name:WILLIAMS, CHARLOTTE TURNER (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHARLOTTE
Middle Name:TURNER
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 1:2010 E 21ST ST N
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-1838
Mailing Address - Country:US
Mailing Address - Phone:316-263-2500
Mailing Address - Fax:316-262-5537
Practice Address - Street 1:2010 E 21ST ST N
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-1838
Practice Address - Country:US
Practice Address - Phone:316-263-2500
Practice Address - Fax:316-262-5537
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS600191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice