Provider Demographics
NPI:1609989342
Name:WILLIAMS, ANDREA LENETTE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:LENETTE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ANDREA
Other - Middle Name:LENETTE
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2708 PEARLAND PKWY
Mailing Address - Street 2:STE: 200
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-5351
Mailing Address - Country:US
Mailing Address - Phone:281-997-1943
Mailing Address - Fax:
Practice Address - Street 1:2708 PEARLAND PKWY
Practice Address - Street 2:STE: 200
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-5351
Practice Address - Country:US
Practice Address - Phone:281-997-1943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLNO 5490122300000X
AL5490122300000X
TX24150122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist