Williams, Tahira

Williams, Tahira is an sole proprietor health care provider with primary practice located at 5520 Pga Blvd Ste 208 , Palm Beach Gardens FL 33418-3981. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Williams, Tahira can be contacted via phone (561) 776-6177.

Contact Information

Primary practice address
5520 Pga Blvd Ste 208 Palm Beach Gardens FL 33418-3981
Phone: (561) 776-6177
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN22424 Florida

Profile Details

NPI number 1477913093
LBN Legal business name Williams, Tahira
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2016
Last updated Aug 26th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477913093 NPPES
Florida MEDICAID 100198300

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