Provider Demographics
NPI:1770679367
Name:WILLIAMS, CHRISTOPHER JOHN (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JOHN
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 NORTH LAKEMONT AVENUE
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3211
Mailing Address - Country:US
Mailing Address - Phone:407-629-0075
Mailing Address - Fax:407-629-0027
Practice Address - Street 1:201 NORTH LAKEMONT AVENUE
Practice Address - Street 2:SUITE 2200
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3211
Practice Address - Country:US
Practice Address - Phone:407-629-0075
Practice Address - Fax:407-629-0027
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN121151223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery