Individual
JOHN EDWARD WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
231 N BRUNS LN BLDG C, SPRINGFIELD, IL 62702-4612
(217) 546-9097
Mailing address
231 N BRUNS LN BLDG C, SPRINGFIELD, IL 62702-4612
(217) 546-9097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019023665
IL
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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