Provider Demographics
NPI:1811010846
Name:DAVID F WILLIAMS DDS PC
Entity Type:Organization
Organization Name:DAVID F WILLIAMS DDS PC
Other - Org Name:STEWARTSTOWN FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:717-993-2554
Mailing Address - Street 1:36 NORTH MAIN STREET
Mailing Address - Street 2:STEWARTSTOWN FAMILY DENTISTRY DAVID F WILLIAMS DDS PC
Mailing Address - City:STEWARTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17363
Mailing Address - Country:US
Mailing Address - Phone:717-993-2554
Mailing Address - Fax:717-993-3708
Practice Address - Street 1:36 NORTH MAIN STREET
Practice Address - Street 2:STEWARTSTOWN FAMILY DENTISTRY DAVID F WILLIAMS DDS PC
Practice Address - City:STEWARTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17363
Practice Address - Country:US
Practice Address - Phone:717-993-2554
Practice Address - Fax:717-993-3708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS024593L122300000X
PADS030459L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty