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NPI Code Detail

MEDICARE: DR. PATRICK TIMOTHY WILLIAMS D.D.S.

MEDICARE:  DR. PATRICK TIMOTHY WILLIAMS  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry12007958IN

General Provider Information

NPI Number : 1942330766
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK TIMOTHY WILLIAMS D.D.S.
Provider Business Mailing Address
First Line : 12545 ADAMS RD
Second Line :
City : GRANGER
State : IN
Zip : 46530-9226
Country : US
Telephone Number : 574-277-5406
Fax Number : 574-277-5467
Provider Business Practice Location Address
First Line : 12545 ADAMS RD
Second Line :
City : GRANGER
State : IN
Zip : 46530-9226
Country : US
Telephone Number : 574-277-5406
Fax Number : 574-277-5467
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 07/08/2007

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Directions to “ DR. PATRICK TIMOTHY WILLIAMS D.D.S.” Practice Location

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