Provider Demographics
NPI:1235211640
Name:WILLIAMS, DAVID C (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:C
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 1:606 FREDERICK RD
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4856
Mailing Address - Country:US
Mailing Address - Phone:410-744-2230
Mailing Address - Fax:410-744-7132
Practice Address - Street 1:606 FREDERICK RD
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4856
Practice Address - Country:US
Practice Address - Phone:410-744-2230
Practice Address - Fax:410-744-7132
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD71821223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics