Provider Demographics
NPI:1326576497
Name:WILLIAMS, NOEL ROBERT JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:NOEL
Middle Name:ROBERT
Last Name:WILLIAMS
Suffix:JR
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 1:1325 N WALKER AVE APT 204
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103-6414
Mailing Address - Country:US
Mailing Address - Phone:405-921-3224
Mailing Address - Fax:
Practice Address - Street 1:1325 N WALKER AVE APT 204
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-6414
Practice Address - Country:US
Practice Address - Phone:405-921-3224
Practice Address - Fax:405-921-3224
Is Sole Proprietor?:No
Enumeration Date:2017-06-01
Last Update Date:2017-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK69571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice