Michael Joseph Williams, DMD
Individual provider Active NPI Dentist · Clayton, NY
NPI 1083418909 · NPPES record last updated Jun 30, 2026
Key facts
- NPI
- 1083418909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 065442 (NY)
- Practice address
- 775 Graves St
Clayton, NY 13624-1503 - Phone
- (315) 686-5142
- NPI assigned
- Apr 1, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 065442 | NY | Yes |
Addresses
Primary practice location
775 Graves St
Clayton, NY 13624-1503
Mailing address
775 Graves St
Clayton, NY 13624-1503
Phone (315) 686-5142
Other providers in Clayton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2026. 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.