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NPI 1962923839

NPI 1962923839 : REED WILLIAMSON, DMD, LLC : SUMMERVILLE, SC

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General NPI Number Information
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    NPI Number           |    1962923839
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    Entity Type          |    Organization 
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    Legal Business Name  |    REED WILLIAMSON, DMD, LLC 
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Dates
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    Enumeration Date     |    06/30/2017
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    Last Update Date     |    01/13/2021
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Provider Practice Location Address
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    Address Line         |    502 N PINE ST 
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    City                 |    SUMMERVILLE
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    State                |    SC
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    Zip                  |    29483-6555
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    Country              |    US
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    Telephone            |    843-250-5213
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1993 BELAIR CT 
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    City                 |    MOUNT PLEASANT
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    State                |    SC
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    Zip                  |    29464-6291
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    Country              |    US
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    Telephone            |    
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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. JAMES REED WILLIAMSON 
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    Credential           |    DMD
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    Telephone            |    843-873-1646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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