| Organization Name: | WILLIAMS ORTHODONTICS, PLLC |
| NPI Number: | 1215162854 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRYAN WILLIAMS (OWNER AND MANAGER) |
| Mailing Address: | 26267 Conifer Rd Suite #101 Conifer |
| State: | CO US |
| Postal Code: | 804339139 |
| Phone Number: | 3038160148 |
| Fax Number: | 3036705879 |
| NPI Enumeration Date: | 05/27/2009 |
| NPI Last Update Date: | 05/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 8404 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |