Provider Demographics
NPI:1437226131
Name:WILLIAMS-NELSON, CECILIA MARIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:MARIA
Last Name:WILLIAMS-NELSON
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 1:6480 NEW HAMPSHIRE AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-4716
Mailing Address - Country:US
Mailing Address - Phone:301-270-9501
Mailing Address - Fax:301-270-2715
Practice Address - Street 1:6480 NEW HAMPSHIRE AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-4716
Practice Address - Country:US
Practice Address - Phone:301-270-9501
Practice Address - Fax:301-270-2715
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2017-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD114041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice