Provider Demographics
NPI:1578947669
Name:WILLIAMS WILLIAMS & WYATT GENERAL PARTNERSHIP
Entity Type:Organization
Organization Name:WILLIAMS WILLIAMS & WYATT GENERAL PARTNERSHIP
Other - Org Name:ALLEN DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:NATHANIEL
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-727-3941
Mailing Address - Street 1:300 W BOYD DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-2518
Mailing Address - Country:US
Mailing Address - Phone:972-727-3941
Mailing Address - Fax:972-727-4352
Practice Address - Street 1:300 W BOYD DR
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2518
Practice Address - Country:US
Practice Address - Phone:972-727-3941
Practice Address - Fax:972-727-4352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-17
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18761122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty