# WILLIAMS DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Summit Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295309854
- **Authorized official:** MISTY D WILLIAMS DDS (PRESIDENT)
- **Authorized official phone:** (573) 446-0032

## Contact information

- **Practice address:** 2310 FORUM BLVD SUITE A, COLUMBIA, MO 65203-5461
- **Practice address phone:** (573) 446-0032
- **Practice address fax:** (573) 447-4424
- **Mailing address:** 2310 FORUM BLVD APT A, COLUMBIA, MO 65203-5461
- **Mailing address phone:** (573) 446-0032
- **Mailing address fax:** (573) 447-4424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/18/2021
- **Last updated:** 05/18/2021