Provider Demographics
NPI:1538206552
Name:PAUL H. WILLIAMS D.D.S., LLC
Entity type:Organization
Organization Name:PAUL H. WILLIAMS D.D.S., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:H
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:717-766-5766
Mailing Address - Street 1:3 KACEY CT
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-9225
Mailing Address - Country:US
Mailing Address - Phone:717-766-5766
Mailing Address - Fax:717-766-4580
Practice Address - Street 1:3 KACEY CT
Practice Address - Street 2:SUITE 202
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-9225
Practice Address - Country:US
Practice Address - Phone:717-766-5766
Practice Address - Fax:717-766-4580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028942L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty