Provider Demographics
NPI:1053167585
Name:WILLIAMS, JANICE M (RDH)
Entity type:Individual
Prefix:PROF
First Name:JANICE
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 SPENCE ENCLAVE LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-3230
Mailing Address - Country:US
Mailing Address - Phone:615-294-1527
Mailing Address - Fax:
Practice Address - Street 1:3500 JOHN A MERRITT BLVD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-1561
Practice Address - Country:US
Practice Address - Phone:615-963-5839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDH5397124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist