# MICHAEL N WILLIAMS DDS PA

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

## Provider details

- **NPI number:** 1457676827
- **Authorized official:** DR. MICHAEL NEAL WILLIAMS DDS (DENTIST)
- **Authorized official phone:** (316) 684-1470

## Contact information

- **Practice address:** 4902 E 21ST ST N, WICHITA, KS 67208-1601
- **Practice address phone:** (316) 684-1470
- **Practice address fax:** (316) 684-3584
- **Mailing address:** 4902 E 21ST, WICHITA, KS 67208-1601
- **Mailing address phone:** (316) 684-1470
- **Mailing address fax:** (316) 684-3584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5597 | KS | Yes |
| 122300000X | Dentist | 60536 | KS | — |

## Other

- **Enumeration date:** 03/29/2010
- **Last updated:** 03/29/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100221620A | — | KS |
| 05 | — | 200548610C | — | KS |