Provider Demographics
NPI:1053533893
Name:DR. RICHARD E. WILLIAMS DDS,PC
Entity type:Organization
Organization Name:DR. RICHARD E. WILLIAMS DDS,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTISIT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:SR
Authorized Official - Credentials:DDS
Authorized Official - Phone:404-237-3309
Mailing Address - Street 1:14 PIEDMONT CTR NE
Mailing Address - Street 2:SUITE P80
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-4535
Mailing Address - Country:US
Mailing Address - Phone:404-237-3309
Mailing Address - Fax:404-237-5571
Practice Address - Street 1:14 PIEDMONT CTR NE
Practice Address - Street 2:SUITE P80
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-4535
Practice Address - Country:US
Practice Address - Phone:404-237-3309
Practice Address - Fax:404-237-5571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA7271122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty