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Individual
DR. SHANE ANTHONY WILLIAMS
Active
Individual
DR. SHANE ANTHONY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
9943
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
332
OK
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9422
TN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9943
KY
Other
Enumeration date
07/31/2008
Last updated
07/21/2022
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