Provider Demographics
NPI:1801293253
Name:CHRISTOPHER M. WILLIAMS, D.D.S., PLLC
Entity type:Organization
Organization Name:CHRISTOPHER M. WILLIAMS, D.D.S., PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:940-923-6739
Mailing Address - Street 1:8709 SOUTHWESTERN BLVD
Mailing Address - Street 2:APT. 1634
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-8274
Mailing Address - Country:US
Mailing Address - Phone:940-923-6739
Mailing Address - Fax:
Practice Address - Street 1:5011 TROUP HWY
Practice Address - Street 2:SUITE 700
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75707-2562
Practice Address - Country:US
Practice Address - Phone:903-581-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX280311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty