# DESOTO HAPPY TEETH PC

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

## Provider details

- **NPI number:** 1679171813
- **Authorized official:** CHARLES IVAN WILLIAMS SR. DDS (DENTIST)
- **Authorized official phone:** (972) 230-0155

## Contact information

- **Practice address:** 701 N HAMPTON RD, DESOTO, TX 75115-4509
- **Practice address phone:** (972) 230-0155
- **Practice address fax:** (972) 230-0741
- **Mailing address:** 701 N HAMPTON RD, DESOTO, TX 75115-4509
- **Mailing address phone:** (972) 230-0155
- **Mailing address fax:** (972) 230-0741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2020
- **Last updated:** 04/12/2021