Jordyn Marie Williams, DDS is a
Student In An Organized Health Care Education/training Program based in Wright Patterson Afb, Ohio. Jordyn Marie Williams is licensed to practice in North Carolina (license number 14155) and her current practice location is
4881 Sugar Maple Dr, Wright Patterson Afb, Ohio. She can be reached at her office (for appointments etc.) via phone at
(252) 481-4006.
NPI number for Jordyn Marie Williams is 1689467524 and her current mailing address is 4950 Cornerstone North Blvd Unit 1309, Dayton, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689467524.
Healthcare Provider's Profile
| Full Name | Jordyn Marie Williams |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1689467524
- Provider Enumeration Date: 05/23/2025
- Last Update Date: 08/07/2025
Medical Identifiers
Medical identifiers for Jordyn Marie Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689467524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 14155 (North Carolina) | Secondary |
| 171000000X | Military Health Care Provider | 14155 (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 14155 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordyn Marie Williams is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jordyn Marie Williams, DDS
4950 Cornerstone North Blvd Unit 1309,
Dayton, OH 45440-2364
Ph: (252) 481-4006 | Jordyn Marie Williams, DDS
4881 Sugar Maple Dr,
Wright Patterson Afb, OH 45433-5529
Ph: (252) 481-4006 |
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