Provider Demographics
NPI:1932620952
Name:WILLIAMS, HANIEF JR (DMD)
Entity type:Individual
Prefix:
First Name:HANIEF
Middle Name:
Last Name:WILLIAMS
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 US HIGHWAY 441/27
Mailing Address - Street 2:
Mailing Address - City:FRUITLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:34731-4478
Mailing Address - Country:US
Mailing Address - Phone:203-524-8854
Mailing Address - Fax:
Practice Address - Street 1:3333 US HIGHWAY 441/27
Practice Address - Street 2:
Practice Address - City:FRUITLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:34731-4478
Practice Address - Country:US
Practice Address - Phone:203-524-8854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-29
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN226311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice