Provider Demographics
NPI:1578508792
Name:WILLIAMS, THOMAS PARKER III (DDS,PC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:PARKER
Last Name:WILLIAMS
Suffix:III
Gender:M
Credentials:DDS,PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 K ST NW
Mailing Address - Street 2:SUITE 305
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-2202
Mailing Address - Country:US
Mailing Address - Phone:202-296-3135
Mailing Address - Fax:202-331-3883
Practice Address - Street 1:1800 K ST NW
Practice Address - Street 2:SUITE 305
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-2202
Practice Address - Country:US
Practice Address - Phone:202-296-3135
Practice Address - Fax:202-331-3883
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC32871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC3287OtherDENTAL LICENSE