Provider Demographics
NPI:1932308053
Name:WILLIAMS, VERNON LEE JR (DDS)
Entity Type:Individual
Prefix:MR
First Name:VERNON
Middle Name:LEE
Last Name:WILLIAMS
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4425 PLANK RD.
Mailing Address - Street 2:SUITE B
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407
Mailing Address - Country:US
Mailing Address - Phone:540-786-1212
Mailing Address - Fax:540-786-1223
Practice Address - Street 1:4425 PLANK RD.
Practice Address - Street 2:SUITE B
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407
Practice Address - Country:US
Practice Address - Phone:540-786-1212
Practice Address - Fax:540-786-1223
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0612122300000X
VA0401412673122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist