Provider Demographics
NPI:1811626674
Name:WILLIAMS, LAYNE ELIZABETH (DMD)
Entity Type:Individual
Prefix:
First Name:LAYNE
Middle Name:ELIZABETH
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 1:26 BEE STREET MSC 507 DENTAL CLINIC ROOM 550
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29425-5070
Mailing Address - Country:US
Mailing Address - Phone:843-792-2188
Mailing Address - Fax:843-792-2212
Practice Address - Street 1:26 BEE STREET MSC 507 DENTAL CLINIC ROOM 550
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-5070
Practice Address - Country:US
Practice Address - Phone:843-792-2188
Practice Address - Fax:843-792-2212
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program