# FAMILY DENTISTRY & ASSOC. OF BELLEVILLE P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Dentistry & Assoc. of Belleville P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700282241
- **Authorized official:** DR. KENNETH LEE WILLIAMS DDS (OWNER)
- **Authorized official phone:** (734) 699-1808

## Contact information

- **Practice address:** 11784 BELLEVILLE RD, BELLEVILLE, MI 48111-2457
- **Practice address phone:** (734) 699-1808
- **Practice address fax:** (734) 699-3599
- **Mailing address:** 11784 BELLEVILLE RD, BELLEVILLE, MI 48111-2457
- **Mailing address phone:** (734) 699-1808
- **Mailing address fax:** (734) 699-3599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 14786 | MI | Yes |
| 122300000X | Dentist | 2901021210 | MI | — |

## Other

- **Enumeration date:** 11/11/2014
- **Last updated:** 11/11/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1053412684 | DENTIST | — |
| 01 | — | 1346645603 | DENTIST | MI |