Provider Demographics
NPI:1851409668
Name:THOMAS O WILLIAMS & JAMES F TAYLOR DDS INC
Entity Type:Organization
Organization Name:THOMAS O WILLIAMS & JAMES F TAYLOR DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANY
Authorized Official - Middle Name:S
Authorized Official - Last Name:ELWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-890-4820
Mailing Address - Street 1:6800 N DIXIE DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45414-3249
Mailing Address - Country:US
Mailing Address - Phone:937-890-4820
Mailing Address - Fax:937-890-4225
Practice Address - Street 1:6800 N DIXIE DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45414-3249
Practice Address - Country:US
Practice Address - Phone:937-890-4820
Practice Address - Fax:937-890-4225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH147461223G0001X
OH147421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty