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Organization
JACQUES R. WILLIAMS DDS PC
Active
Organization
JACQUES R. WILLIAMS DDS PC
Active
Other names
Uptown Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUES RAMONE WILLIAMS DDS (PRESIDENT)
(770) 942-4899
Entity
Organization
Contact information
Practice address
8415 CAMPBELLTON ST, DOUGLASVILLE, GA 30134-1876
(770) 942-4899
(770) 942-4859
Mailing address
8415 CAMPBELLTON ST, DOUGLASVILLE, GA 30134-1876
(770) 942-4899
(770) 942-4859
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN013290
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27000355
—
GA
Enumeration date
10/21/2008
Last updated
10/21/2008
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