1801293253 NPI number — CHRISTOPHER M. WILLIAMS, D.D.S., PLLC

Table of content: (NPI 1801293253)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801293253 NPI number — CHRISTOPHER M. WILLIAMS, D.D.S., PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHRISTOPHER M. WILLIAMS, D.D.S., PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801293253
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/01/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8709 SOUTHWESTERN BLVD
Provider Second Line Business Mailing Address:
APT. 1634
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75206-8274
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
940-923-6739
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5011 TROUP HWY
Provider Second Line Business Practice Location Address:
SUITE 700
Provider Business Practice Location Address City Name:
TYLER
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75707-2562
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
903-581-5500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/01/2014

Additional Information

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
MICHAEL
Authorized Official Title or Position:
DENTIST
Authorized Official Telephone Number:
940-923-6739

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  28031 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com