Provider Demographics
NPI:1669190500
Name:AFFORDABLE DENTURES & IMPLANTS - MORRISTOWN III, P.C.
Entity type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS - MORRISTOWN III, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:423-587-0596
Mailing Address - Street 1:219 E MORRIS BLVD
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37813-2342
Mailing Address - Country:US
Mailing Address - Phone:423-587-0596
Mailing Address - Fax:
Practice Address - Street 1:219 E MORRIS BLVD
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37813-2342
Practice Address - Country:US
Practice Address - Phone:423-587-0596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty