Individual provider · Type 1 NPI

Theodore Jerard Williams, DDS

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1750235776 Active

Practice location

160 E Erie Ave
Philadelphia, PA 19134-1011

Call (215) 427-5000 Map

Mailing address

9928 Deer Spring Ln
Charlotte, NC 28210-7962

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1750235776

Theodore Jerard Williams, DDS's National Provider Identifier is 1750235776, issued on Feb 25, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 25, 2026.