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Organization
SHANE WILLIAMS DMD PLLC
Active
Organization
SHANE WILLIAMS DMD PLLC
Active
Other names
Nashville Oral Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KEOUGH (CREDENTIALING SPECIALIST)
(405) 848-7974
Entity
Organization
Contact information
Practice address
2400 PATTERSON ST, STE 316, NASHVILLE, TN 37203-1562
(615) 327-3534
(615) 327-3552
Mailing address
PO BOX 26485, OKLAHOMA CITY, OK 73126-0485
(405) 848-7974
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9422
TN
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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