Provider Demographics
NPI:1689057481
Name:WILLIAMS, YOUNG-WON (DMD)
Entity Type:Individual
Prefix:
First Name:YOUNG-WON
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9135 RIDGELINE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2392
Mailing Address - Country:US
Mailing Address - Phone:720-239-7366
Mailing Address - Fax:
Practice Address - Street 1:9135 RIDGELINE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2392
Practice Address - Country:US
Practice Address - Phone:720-239-7366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002035741223G0001X
CO00203574122300000X
IL019.0302011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice