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NPI Code Detail

MEDICARE: IAN WILLIAMS DMD

MEDICARE:   IAN  WILLIAMS  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN123974GA

General Provider Information

NPI Number : 1154173284
Entity Type Code : Individual
Provider Name (Legal Business Name) : IAN WILLIAMS DMD
Provider Business Mailing Address
First Line : 1002 POINTE SOUTH PKWY
Second Line :
City : JONESBORO
State : GA
Zip : 30238-4324
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1002 POINTE SOUTH PKWY
Second Line :
City : JONESBORO
State : GA
Zip : 30238-4324
Country : US
Telephone Number : 770-282-1066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2024
Last Update Date : 09/12/2025

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Directions to “ IAN WILLIAMS DMD” Practice Location

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