Provider Demographics
NPI:1780867820
Name:WILLIAMS, STEVEN MARK (DMD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MARK
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:999 E STANLEY BLVD
Mailing Address - Street 2:STE. C
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-4002
Mailing Address - Country:US
Mailing Address - Phone:925-371-0300
Mailing Address - Fax:925-371-0800
Practice Address - Street 1:999 E STANLEY BLVD
Practice Address - Street 2:STE. C
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4002
Practice Address - Country:US
Practice Address - Phone:925-371-0300
Practice Address - Fax:925-371-0800
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-12
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA399121223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics