Provider Demographics
NPI:1437210531
Name:DANIEL S WILLIAMS DDS PC
Entity Type:Organization
Organization Name:DANIEL S WILLIAMS DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-722-2929
Mailing Address - Street 1:70 WEST MERCURY BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-2570
Mailing Address - Country:US
Mailing Address - Phone:757-722-2929
Mailing Address - Fax:757-722-5378
Practice Address - Street 1:70 WEST MERCURY BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-2570
Practice Address - Country:US
Practice Address - Phone:757-722-2929
Practice Address - Fax:757-722-5378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010068111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
524643OtherUNITED CONCORDIA