Williams, Alvin Bernard

Williams, Alvin Bernard is an sole proprietor health care provider with primary practice located at 9135 Piscataway Rd Suite 105, Clinton MD 20735-2549. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Williams, Alvin Bernard can be contacted via phone (301) 877-1622.

Contact Information

Primary practice address
9135 Piscataway Rd Suite 105 Clinton MD 20735-2549
Fax: (301) 877-1624
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10984 Maryland

Profile Details

NPI number 1114042694
LBN Legal business name Williams, Alvin Bernard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2007
Last updated Dec 21st, 2011 - about 13 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 1114042694 NPPES
Maryland MEDICAID 001899600

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