# SHANE WILLIAMS DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nashville Oral Facial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144583725
- **Authorized official:** LISA KEOUGH (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (405) 848-7974

## Contact information

- **Practice address:** 2400 PATTERSON ST, STE 316, NASHVILLE, TN 37203-1562
- **Practice address phone:** (615) 327-3534
- **Practice address fax:** (615) 327-3552
- **Mailing address:** PO BOX 26485, OKLAHOMA CITY, OK 73126-0485
- **Mailing address phone:** (405) 848-7974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 9422 | TN | Yes |

## Other

- **Enumeration date:** 06/19/2012
- **Last updated:** 06/19/2012