| Williams Family Dentistry | |
|
3223 Audubon Dr Laurel MS 39440-1422 | |
| (601) 319-1918 | |
| Not Available |
| Full Name | Williams Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3223 Audubon Dr, Laurel, Mississippi |
| Authorized Official Name and Position | Tracy Lee Williams (OWNER) |
| Authorized Official Contact | 6013191918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Williams Family Dentistry 3223 Audubon Dr Laurel MS 39440-1422 Ph: (601) 319-1918 | Williams Family Dentistry 3223 Audubon Dr Laurel MS 39440-1422 Ph: (601) 319-1918 |
| NPI Number | 1801136577 |
|---|---|
| Provider Enumeration Date | 02/18/2013 |
| Last Update Date | 02/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801136577 | NPI | - | NPPES |
| 01925741 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | MS 3469-08 (Mississippi) | Primary |
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