Provider Demographics
NPI:1649472077
Name:WILLIAMS, JANETTE A (DDS)
Entity type:Individual
Prefix:DR
First Name:JANETTE
Middle Name:A
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9563 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-7237
Mailing Address - Country:US
Mailing Address - Phone:513-793-5703
Mailing Address - Fax:513-793-1005
Practice Address - Street 1:9563 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-7237
Practice Address - Country:US
Practice Address - Phone:513-793-5703
Practice Address - Fax:513-793-1005
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH200411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice