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NPI Code Detail

MEDICARE: DR. DAVID R. WILLIAMS DDS

MEDICARE:  DR. DAVID R. WILLIAMS  DDS
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
11223P0300XPeriodontics10670FL

General Provider Information

NPI Number : 1942216015
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID R. WILLIAMS DDS
Provider Business Mailing Address
First Line : 4357 SPANISH TRL
Second Line :
City : PENSACOLA
State : FL
Zip : 32504-4942
Country : US
Telephone Number : 850-433-1543
Fax Number : 850-433-1564
Provider Business Practice Location Address
First Line : 4357 SPANISH TRL
Second Line :
City : PENSACOLA
State : FL
Zip : 32504-4942
Country : US
Telephone Number : 850-433-1543
Fax Number : 850-433-1564
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID R. WILLIAMS DDS” Practice Location

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