FAYETTE CREED WILLIAMS D.D.S. M.D. NPI 1215130810

NPI Information

  • NPI: 1215130810
  • Provider Name: FAYETTE CREED WILLIAMS, D.D.S., M.D.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1625 SAINT LOUIS AVENUE
    HOUSE STAFF & GME
    FORT WORTH, TX
    ZIP 76104
  • Phone: (817) 927-1325

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NPI Details

Fayette Creed Williams, D.D.S., M.D. is an oral and maxillofacial surgery dentist in Fort Worth, TX with 20 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Fayette Creed Williams, D.D.S., M.D. NPI is 1215130810. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year:2005

The provider's business location address is:

1625 SAINT LOUIS AVENUE
HOUSE STAFF & GME
FORT WORTH, TX
ZIP 76104
Phone: (817) 927-1325
Fax: (817) 927-1035

The NPI 1215130810 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2007 and was last updated on 7/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery21161TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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