Provider Demographics
NPI:1821348293
Name:WILLIAMS, REBEKAH LILEEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:REBEKAH
Middle Name:LILEEN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40657 ANNABELLE GLEN PL
Mailing Address - Street 2:
Mailing Address - City:ALDIE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-2247
Mailing Address - Country:US
Mailing Address - Phone:301-257-5747
Mailing Address - Fax:
Practice Address - Street 1:14535 JOHN MARSHALL HWY STE 209
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-4025
Practice Address - Country:US
Practice Address - Phone:703-753-2252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014137801223G0001X
MD152461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice