# WILLIAMS ORAL AND MAXILLOFACIAL SURGERY, PROF. L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407091424
- **Authorized official:** DR. GREGORY P WILLIAMS DDS (PRESIDENT)
- **Authorized official phone:** (605) 348-3400

## Contact information

- **Practice address:** 330 E STUMER RD, RAPID CITY, SD 57701-6406
- **Practice address phone:** (605) 348-3400
- **Practice address fax:** (605) 348-1626
- **Mailing address:** 330 E STUMER RD, RAPID CITY, SD 57701-6406
- **Mailing address phone:** (605) 348-3400
- **Mailing address fax:** (605) 348-1626

## Taxonomy

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

## Other

- **Enumeration date:** 12/04/2008
- **Last updated:** 12/04/2008