Provider Demographics
NPI:1346470549
Name:PAUL WILLIAMS, DDS,PLLC
Entity Type:Organization
Organization Name:PAUL WILLIAMS, DDS,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-696-2557
Mailing Address - Street 1:106 ARGUS LN STE C
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9266
Mailing Address - Country:US
Mailing Address - Phone:704-696-2557
Mailing Address - Fax:704-799-0380
Practice Address - Street 1:106 ARGUS LN STE C
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-9266
Practice Address - Country:US
Practice Address - Phone:704-696-2557
Practice Address - Fax:704-799-0380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8746261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental