Provider Demographics
NPI:1942475843
Name:WILLIAMS, NOELLE (DMD)
Entity Type:Individual
Prefix:DR
First Name:NOELLE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3230 SW ARCHER RD
Mailing Address - Street 2:H242A
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-1700
Mailing Address - Country:US
Mailing Address - Phone:352-275-4212
Mailing Address - Fax:
Practice Address - Street 1:3230 SW ARCHER RD
Practice Address - Street 2:H242A
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1700
Practice Address - Country:US
Practice Address - Phone:352-275-4212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 177231223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics