Provider Demographics
NPI:1770727943
Name:DANIEL N. WILLIAMS D.D.S.,P.A.
Entity type:Organization
Organization Name:DANIEL N. WILLIAMS D.D.S.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:NAKIA
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:910-276-3166
Mailing Address - Street 1:501 WESTWOOD WAY
Mailing Address - Street 2:B
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-3459
Mailing Address - Country:US
Mailing Address - Phone:910-276-3166
Mailing Address - Fax:910-276-1670
Practice Address - Street 1:501 WESTWOOD WAY
Practice Address - Street 2:B
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-3459
Practice Address - Country:US
Practice Address - Phone:910-276-3166
Practice Address - Fax:910-276-1670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-30
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8044261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5902739Medicaid