Provider Demographics
NPI:1487818555
Name:MCWILLIAMS, KEVIN CARLTON (DDS)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:CARLTON
Last Name:MCWILLIAMS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 E ROMIE LN
Mailing Address - Street 2:#A
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901
Mailing Address - Country:US
Mailing Address - Phone:831-758-8316
Mailing Address - Fax:831-758-8318
Practice Address - Street 1:130 E ROMIE LN
Practice Address - Street 2:#A
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901
Practice Address - Country:US
Practice Address - Phone:831-758-8316
Practice Address - Fax:831-758-8318
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA361771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice