Doctor Name: | DR. DALLAS DEVERE WILLIAMS |
NPI Number: | 1497936538 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.D.S., M.D. |
License Number: | 19353 |
Business Practice Address: | 1952 Blue Mesa Ct Loveland, CO - 805384125 |
Business Phone Number: | 9706350400 |
Business Fax Number: | 9706359171 |
Mailing Address: | 2160 Country Club Pkwy, MILLIKEN |
State: | CO |
Postal Code: | 805439621 |
Phone Number: | 9705875413 |
Fax Number: | 9705875415 |
NPI Enumeration Date: | 11/16/2007 |
NPI Last Update Date: | 11/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 19353 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |