Cory Jay Williams, DMD
Individual provider Active NPI Dentist · Gypsum, CO
NPI 1831592294 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1831592294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 00202165 (CO)
- Practice address
- 410 McGregor Drive
Gypsum, CO 81637 - Phone
- (970) 945-2840
- NPI assigned
- Sep 30, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 00202165 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Family Health Centers | Past | Accepting new patients | |
| Mountain Family Health Centers | Past | Accepting new patients |
Interoperability endpoints
- cory.williams.p1@direct.mfhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 00202165 | CO | Yes |
Addresses
Primary practice location
410 McGregor Drive
Gypsum, CO 81637
Mailing address
PO Box 339
Glenwood Springs, CO 81602-0339
Phone (970) 928-1635
Other providers in Gypsum, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2023. 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.