Sindy Lou Williams
Individual provider Active NPI Dental Therapist · Tok, AK
NPI 1053205302 · NPPES record last updated Jun 3, 2025
Key facts
- NPI
- 1053205302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Therapist 125J00000X
- License
- 25-204-DHAT (AK)
- Practice address
- 124.5 Tok Cut Off
Tok, AK 99780 - Phone
- (907) 451-6682
- NPI assigned
- Jun 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25-204-DHAT | AK | MD | Dental Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Therapist | 125J00000X | 25-204-DHAT | AK | Yes |
Addresses
Primary practice location
124.5 Tok Cut Off
Tok, AK 99780
Mailing address
1717 W Cowles St
Attn: Dental Department
Fairbanks, AK 99701-5926
Phone (907) 452-8251
Other providers in Tok, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.