| Williams Family Dentistry | |
|
652 Lobdell Ave Baton Rouge LA 70806-6318 | |
| (225) 924-4620 | |
| (225) 223-6083 |
| Full Name | Williams Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 652 Lobdell Ave, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Willie Golden Williams (CEO) |
| Authorized Official Contact | 2259244620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Williams Family Dentistry 652 Lobdell Ave Baton Rouge LA 70806-6318 Ph: (225) 924-4620 | Williams Family Dentistry 652 Lobdell Ave Baton Rouge LA 70806-6318 Ph: (225) 924-4620 |
| NPI Number | 1578696860 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 11/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578696860 | NPI | - | NPPES |
| 1856096 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5609 (Louisiana) | Primary |
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