Healthcare Provider Details

I. General information

NPI: 1730756958
Provider Name (Legal Business Name): LOWELL D. WILLIAMS, DDS, MS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2021
Last Update Date: 06/07/2021
Certification Date: 06/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N MAIN ST
HARRISON AR
72601-3536
US

IV. Provider business mailing address

PO BOX 1211
HARRISON AR
72602-1211
US

V. Phone/Fax

Practice location:
  • Phone: 870-741-5327
  • Fax:
Mailing address:
  • Phone: 870-741-5327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. LOWELL WILLIAMS
Title or Position: PEDIATRIC DENTIST
Credential: DDS
Phone: 870-741-5327