Provider Demographics
NPI:1851479000
Name:WILLIAMS-CONERLY, CLAUDIA NICKOLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:NICKOLE
Last Name:WILLIAMS-CONERLY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CLAUDIA
Other - Middle Name:NICKOLE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10313 GEORGIA AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-5006
Mailing Address - Country:US
Mailing Address - Phone:301-565-3536
Mailing Address - Fax:301-576-3536
Practice Address - Street 1:10313 GEORGIA AVE STE 210
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-5006
Practice Address - Country:US
Practice Address - Phone:301-565-3536
Practice Address - Fax:301-576-3536
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010175931223D0001X
MD141261223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223D0001XDental ProvidersDentistDental Public Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD028818700Medicaid