# JENNY MCWILLIAMS DDS PC

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

## Provider details

- **NPI number:** 1427495621
- **Authorized official:** KEN MCWILLIAMS (OFFICE MANAGER)
- **Authorized official phone:** (812) 477-2836

## Contact information

- **Practice address:** 701 N WEINBACH AVE, SUITE 910, EVANSVILLE, IN 47711-5990
- **Practice address phone:** (812) 477-2836
- **Mailing address:** 701 N WEINBACH AVE, SUITE 910, EVANSVILLE, IN 47711-5990
- **Mailing address phone:** (812) 477-2836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12010009A | IN | Yes |
| 1223P0221X | Pediatric Dentistry | 12006664A | IN | — |

## Other

- **Enumeration date:** 05/29/2013
- **Last updated:** 05/29/2013