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Organization

ROBERT L WILLIAMSON, III, DDS3, PA

Active
Other names
Wilmington Comprehensive & Cosmetic Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY CAMPBELL (REGIONAL MANAGER)
(919) 624-7207
Entity
Organization

Contact information

Practice address
1624 PRINCESS ST, WILMINGTON, NC 28401-3848
(910) 251-8174
(910) 341-3037
Mailing address
1624 PRINCESS ST, WILMINGTON, NC 28401-3848
(910) 251-8174
(910) 341-3037

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
260100
NC
122300000X
Dentist
7986
NC
122300000X
Dentist
8411
NC
122300000X
Dentist
8852
NC
122300000X
Dentist
Primary
8999
NC
1223G0001X
General Practice Dentistry
7038
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2058663
NC
05
5901114
NC
05
5907981
NC
05
89902EJ
NC
Enumeration date
11/14/2006
Last updated
07/01/2010
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