# GORDON G. WILLIAMSON, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659368504
- **Authorized official:** DR. GORDON GENE WILLIAMSON DDS (PRESIDENT)
- **Authorized official phone:** (623) 933-5749

## Contact information

- **Practice address:** 14800 W MOUNTAIN VIEW BLVD, SUITE 200, SURPRISE, AZ 85374-4795
- **Practice address phone:** (623) 933-5749
- **Practice address fax:** (623) 815-1220
- **Mailing address:** 14800 W MOUNTAIN VIEW BLVD, SUITE 200, SURPRISE, AZ 85374-4795
- **Mailing address phone:** (623) 933-5749
- **Mailing address fax:** (623) 815-1220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1290 | AZ | Yes |

## Other

- **Enumeration date:** 10/04/2005
- **Last updated:** 08/22/2020