Individual
DR. MICHAEL OWEN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
424 COURT HOUSE ROAD, GULFPORT, MS 39507-1849
(228) 896-8333
(228) 896-8335
Mailing address
PO BOX 8333, 424 COURT HOUSE ROAD, GULFPORT, MS 39507-1849
(228) 896-8333
(228) 896-8335
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
173876
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
OR1980
MS
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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