Provider Demographics
NPI:1467784322
Name:WILLIAMS, NOEL A (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:NOEL
Middle Name:A
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6848 E BROWN RD
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85207-3706
Mailing Address - Country:US
Mailing Address - Phone:480-832-8686
Mailing Address - Fax:480-325-0723
Practice Address - Street 1:6848 E BROWN RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85207-3706
Practice Address - Country:US
Practice Address - Phone:480-832-8686
Practice Address - Fax:480-325-0723
Is Sole Proprietor?:No
Enumeration Date:2010-02-03
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD53841223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics