Provider Demographics
NPI:1700997541
Name:WILLIAMSON, KAREN ELAINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ELAINE
Last Name:WILLIAMSON
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 1:560 W RALPH HALL PKWY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032
Mailing Address - Country:US
Mailing Address - Phone:469-402-0024
Mailing Address - Fax:469-402-0028
Practice Address - Street 1:560 W RALPH HALL PKWY
Practice Address - Street 2:SUITE 104
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032
Practice Address - Country:US
Practice Address - Phone:469-402-0024
Practice Address - Fax:469-402-0028
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX163331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice