Provider Demographics
NPI:1538357116
Name:DR H.J. WILLIAMS DDS
Entity type:Organization
Organization Name:DR H.J. WILLIAMS DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAYWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:478-272-8603
Mailing Address - Street 1:112 ROWE ST
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-5200
Mailing Address - Country:US
Mailing Address - Phone:478-272-8603
Mailing Address - Fax:478-272-6311
Practice Address - Street 1:112 ROWE ST
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-5200
Practice Address - Country:US
Practice Address - Phone:478-272-8603
Practice Address - Fax:478-272-6311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADNO0085581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty