# ROBERT L WILLIAMSON III DDS 4 PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Raleigh Comprehensive & Cosmetic Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093850992
- **Authorized official:** NANCY CAMPBELL (OPERATION DIRECTOR)
- **Authorized official phone:** (919) 828-3775

## Contact information

- **Practice address:** 119 N BOYLAN AVE, RALEIGH, NC 27603-1445
- **Practice address phone:** (919) 828-3775
- **Mailing address:** PO BOX 10401, RALEIGH, NC 27605-0401
- **Mailing address phone:** (919) 828-3775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7038 | NC | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 10/14/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5902049 | — | NC |