Provider Demographics
NPI:1740914068
Name:WILLIAMS, CHRISTOPHER GIJY (DMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:GIJY
Last Name:WILLIAMS
Suffix:
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 1:3420 MILWAUKEE AVE APT 1332
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-4327
Mailing Address - Country:US
Mailing Address - Phone:678-602-3419
Mailing Address - Fax:
Practice Address - Street 1:5607 SLIDE RD STE 200
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79414-4104
Practice Address - Country:US
Practice Address - Phone:806-792-1750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX387561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice