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General NPI Number Information
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NPI Number | 1255263307
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Entity Type | Organization
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Legal Business Name | NW DENTISTRY AND SPECIALTIES
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 5885 GLENRIDGE DR STE 160
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-6171
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Country | US
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Telephone | 470-470-3980
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Fax | 470-470-3544
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Provider Business Mailing Address
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Address Line | 12070 S MAGNOLIA CIR
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City | JOHNS CREEK
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State | GA
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Zip | 30005-6720
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Country | US
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Telephone | 912-224-4890
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NATHANIEL ANTWAN WILLIAMS
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Credential | DDS
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Telephone | 912-224-4890
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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 |
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License Number State |
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