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General NPI Number Information
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NPI Number | 1871079376
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Entity Type | Individual
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Provider Name | LAQUINTA SHARELLE ELIM WILLIAMS DMD
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Gender | Female
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Dates
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Enumeration Date | 07/17/2018
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 3014 TWO NOTCH RD
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City | COLUMBIA
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State | SC
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Zip | 29204-2822
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Country | US
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Telephone | 888-757-6151
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Fax |
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Provider Business Mailing Address
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Address Line | 4045 JIMMIE DYESS PKWY STE 102
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City | AUGUSTA
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State | GA
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Zip | 30909-9492
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Country | US
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Telephone | 706-868-4200
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Fax | 706-868-4717
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN015723
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DGD11275
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DGD11227
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License Number State | SC
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