Provider Demographics
NPI:1487194577
Name:DR. M.E. WILLIAMSON D.D.S.,P.C
Entity Type:Organization
Organization Name:DR. M.E. WILLIAMSON D.D.S.,P.C
Other - Org Name:DR. M.E. WILLIAMSON D.D.S.,P.C
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MARLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-839-0494
Mailing Address - Street 1:6196 OXON HILL RD
Mailing Address - Street 2:390
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-3100
Mailing Address - Country:US
Mailing Address - Phone:301-839-0494
Mailing Address - Fax:301-839-5780
Practice Address - Street 1:6196 OXON HILL RD
Practice Address - Street 2:390
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3100
Practice Address - Country:US
Practice Address - Phone:301-839-0494
Practice Address - Fax:301-839-5780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-08
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10118122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty