MEDICARE: DR. NANCY LAMPKIN WILLIAMS D.D.S.

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
1	1223D0001X	Public Health Dentistry	DN008684	GA

General Provider Information

NPI Number	:	1295738573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY LAMPKIN WILLIAMS D.D.S.

Provider Business Mailing Address
First Line	:	808 PROFESSIONAL BLVD
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30720-2536
Country	:	US
Telephone Number	:	706-281-2316
Fax Number	:	706-281-2397

Provider Business Practice Location Address
First Line	:	808 PROFESSIONAL BLVD
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30720-2536
Country	:	US
Telephone Number	:	706-281-2316
Fax Number	:	706-281-2397

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	07/08/2007

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