| Dr Alejandro Leonel Williams, DDS | |
|
1624 University Blvd, Bronx, NY 10453-6948 | |
| (718) 294-3725 | |
| (718) 466-0782 |
| Full Name | Dr Alejandro Leonel Williams |
|---|---|
| Gender | Male |
| Speciality | Oral & Maxillofacial Surgery |
| Location | 1624 University Blvd, Bronx, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073502217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 045560-1 (New York) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 045560 (New York) | Primary |
| Entity Name | Alejandro Williams Dental Office PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508037466 PECOS PAC ID: 9739567231 Enrollment ID: O20220610001766 |
| Entity Name | 3545 Johnson Blvd Dental PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124759527 PECOS PAC ID: 4981088762 Enrollment ID: O20220827000242 |
| Entity Name | Spore Test Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902533342 PECOS PAC ID: 8426432824 Enrollment ID: O20220902002445 |
| Entity Name | 43 Chruch Street Dental PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356097869 PECOS PAC ID: 5395120240 Enrollment ID: O20220914000695 |
| Entity Name | Bonita Sonrisa Dental Mso |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790325884 PECOS PAC ID: 2466821889 Enrollment ID: O20221207000890 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alejandro Leonel Williams, DDS 1624 University Blvd, Bronx, NY 10453-6948 Ph: (718) 294-3725 | Dr Alejandro Leonel Williams, DDS 1624 University Blvd, Bronx, NY 10453-6948 Ph: (718) 294-3725 |