Provider Demographics
NPI:1255870903
Name:WILLIAMS, ANUOLUWAPO (DDS)
Entity Type:Individual
Prefix:
First Name:ANUOLUWAPO
Middle Name:
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 1:10404 SILVERDALE WAY NW STE E109
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-1015
Mailing Address - Country:US
Mailing Address - Phone:360-536-9033
Mailing Address - Fax:
Practice Address - Street 1:10404 SILVERDALE WAY NW STE E109
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-1015
Practice Address - Country:US
Practice Address - Phone:360-536-9033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-14
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA611517511223G0001X
ORD10921122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Yes1223G0001XDental ProvidersDentistGeneral Practice