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Organization
NATHAN D. WILLIAMSON, D.M.D. LLC
Active
Organization
NATHAN D. WILLIAMSON, D.M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN DAVID WILLIAMSON DMD (DENTIST/OWNER)
(618) 281-7300
Entity
Organization
Contact information
Practice address
240 ADMIRAL TROST RD, COLUMBIA, IL 62236-2163
(618) 400-0550
(618) 400-0824
Mailing address
240 ADMIRAL TROST RD, COLUMBIA, IL 62236-2163
(618) 400-0550
(618) 400-0824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027747
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366864589
DR. MATTHEW HAARMANN
IL
01
—
1770010100
NPI
IL
Enumeration date
05/16/2017
Last updated
12/21/2021
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