Provider Demographics
NPI:1629634647
Name:WILLIAMS, CHARLES EVAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:EVAN
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DMD
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Mailing Address - Street 1:1201 N STONEWALL AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73117-1214
Mailing Address - Country:US
Mailing Address - Phone:405-271-4441
Mailing Address - Fax:405-271-1134
Practice Address - Street 1:604 MCCARTHY BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-5231
Practice Address - Country:US
Practice Address - Phone:252-638-6177
Practice Address - Fax:252-638-5269
Is Sole Proprietor?:No
Enumeration Date:2019-05-15
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC114611223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery