Provider Demographics
NPI:1023325495
Name:CLIFFORD WILLIAMS, D.M.D., P.C.
Entity type:Organization
Organization Name:CLIFFORD WILLIAMS, D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:P
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:212-757-7070
Mailing Address - Street 1:1 ROCKEFELLER PLAZA
Mailing Address - Street 2:SUITE 2229
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10020
Mailing Address - Country:US
Mailing Address - Phone:212-757-7070
Mailing Address - Fax:212-307-6879
Practice Address - Street 1:1 ROCKEFELLER PLAZA
Practice Address - Street 2:SUITE 2229
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10020
Practice Address - Country:US
Practice Address - Phone:212-757-7070
Practice Address - Fax:212-307-6879
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLIFFORD WILLIAMS, D.M.D., P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049389-1122300000X
NY033820122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty