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NPI 1245215821

NPI 1245215821 : RICHARD M WILLIAMS DDS : GERMANTOWN, MD

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General NPI Number Information
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    NPI Number           |    1245215821
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD M WILLIAMS DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/07/2005
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    Last Update Date     |    07/19/2022
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Provider Practice Location Address
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    Address Line         |    19531 DOCTORS DR 
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    City                 |    GERMANTOWN
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    State                |    MD
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    Zip                  |    20874-5262
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    Country              |    US
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    Telephone            |    301-540-8844
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    Fax                  |    301-540-8845
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Provider Business Mailing Address
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    Address Line         |    19531 DOCTORS DR 
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    City                 |    GERMANTOWN
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    State                |    MD
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    Zip                  |    20874-5262
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    Country              |    US
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    Telephone            |    301-540-8844
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    Fax                  |    301-540-8845
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223S0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery (Dentist)
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    License Number       |    10013
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    204E00000X
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    Taxonomy Name        |    Oral & Maxillofacial Surgery (D.M.D.)
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    License Number       |    DEN4886
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    License Number State |    DC
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Taxonomy #3
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    Taxonomy Code        |    204E00000X
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    Taxonomy Name        |    Oral & Maxillofacial Surgery (D.M.D.)
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    License Number       |    10013
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    License Number State |    MD
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