Provider Demographics
NPI:1881037992
Name:COLISTA WILLIAMS DDS PLLC
Entity Type:Organization
Organization Name:COLISTA WILLIAMS DDS PLLC
Other - Org Name:ACCENT DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-335-7666
Mailing Address - Street 1:8300 GAYLORD PKWY
Mailing Address - Street 2:STE. 15
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-8566
Mailing Address - Country:US
Mailing Address - Phone:972-335-7666
Mailing Address - Fax:
Practice Address - Street 1:8300 GAYLORD PKWY
Practice Address - Street 2:STE. 15
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-8566
Practice Address - Country:US
Practice Address - Phone:972-335-7666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-09
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty