Williams Dental South in Red Oak - General Practice

Williams Dental South - NPI 1194807578

Williams Dental South is a General Practice in Red Oak, Texas. Williams Dental South practices all healthcare services and medical treatments related to General Practice. The NPI Number for Williams Dental South is 1194807578. The last update date is 2014-12-19.

Williams Dental South's current location address is 269 E. Ovilla Rd., Red Oak, Texas. You can contact this provider via phone number 9725763603 and fax number 9725763664. The mailing address for Williams Dental South is 269 E. Ovilla Rd., Red Oak, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Williams Dental South
Address 269 E. Ovilla Rd., Red Oak, Texas
Phone Number 9725763603
Fax Number 9725763664
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST
Authorized Official Name Williams Ivan Charles
Credentials DDS
Telephone Number 9725760248

NPI Number Detail

NPI Number 1194807578
Provider Enumeration Date 2006-10-19
Last Updated Date 2014-12-19

Provider Mailing Address Detail

Address 269 E. Ovilla Rd.
City Red Oak
State Texas (TX)
Post Code 75154
Phone Number 9725763603
Fax Number 9725763664

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 8495
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
148102001 TX --
0079JM TX BLUE CROSS BLUE SHIELD
1364233 TX UNITED CONCORDIA
1039831 TX UNITED HEALTHCARE

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FAQs about Williams Dental South

What is the unique 10-digit identifier code issued to Williams Dental South by the Centers for Medicare & Medicaid Services?

The Williams Dental South has been assigned the NPI (National Provider Identifier) 1194807578 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Williams Dental South is located?

The Williams Dental South is situated at the following address: 269 E. Ovilla Rd., Red Oak, TX, 75154.

What is the area of specialization for Williams Dental South, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Williams Dental South is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Williams Dental South receive its 1194807578 assignment from the Centers for Medicare & Medicaid Services?

The Williams Dental South was assigned its 1194807578 by the Centers for Medicare & Medicaid Services on 2006-10-19.

As of what date were the details related to Williams Dental South most recently updated or revised?

The information pertaining to Williams Dental South, including its address, specialty, and other relevant details, was last updated or revised on 2014-12-19.

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