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General NPI Number Information
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NPI Number | 1689467524
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Entity Type | Individual
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Provider Name | JORDYN MARIE WILLIAMS DDS
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Gender | Female
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 4881 SUGAR MAPLE DR
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City | WRIGHT PATTERSON AFB
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State | OH
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Zip | 45433-5529
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Country | US
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Telephone | 252-481-4006
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Fax |
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Provider Business Mailing Address
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Address Line | 4950 CORNERSTONE NORTH BLVD UNIT 1309
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City | DAYTON
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State | OH
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Zip | 45440-2364
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Country | US
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Telephone | 252-481-4006
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 14155
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | 14155
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 14155
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License Number State | NC
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