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General NPI Number Information
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NPI Number | 1619194792
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Entity Type | Organization
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Legal Business Name | TIMOTHY WILLIAMS, DDS, MS, PLLC
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/16/2007
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Provider Practice Location Address
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Address Line | 6649 ROCHESTER RD SUITE B
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City | TROY
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State | MI
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Zip | 48085-1389
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Country | US
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Telephone | 248-879-7200
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Fax | 248-879-7091
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Provider Business Mailing Address
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Address Line | 6649 ROCHESTER RD SUITE B
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City | TROY
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State | MI
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Zip | 48085-1389
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Country | US
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Telephone | 248-879-7200
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Fax | 248-879-7091
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. TIMOTHY M. WILLIAMS
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Credential | DDS., MS.
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Telephone | 248-879-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 10622
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License Number State | MI
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