| Williams Dental Llc | |
|
2310 Forum Blvd Suite A Columbia MO 65203-5461 | |
| (573) 446-0032 | |
| (573) 447-4424 |
| Full Name | Williams Dental Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2310 Forum Blvd Suite A, Columbia, Missouri |
| Authorized Official Name and Position | Misty D Williams (PRESIDENT) |
| Authorized Official Contact | 5734460032 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williams Dental Llc 2310 Forum Blvd Apt A Columbia MO 65203-5461 Ph: (573) 446-0032 | Williams Dental Llc 2310 Forum Blvd Suite A Columbia MO 65203-5461 Ph: (573) 446-0032 |
| NPI Number | 1295309854 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 05/18/2021 |
| Medicare PECOS PAC ID | 0648688911 |
|---|---|
| Medicare Enrollment ID | O20210427000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295309854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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