Individual
MATTHEW L WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
402 W JEFFERSON ST, KIRKSVILLE, MO 63501-3407
(660) 665-2741
Mailing address
1416 CROWN DR, KIRKSVILLE, MO 63501-2548
(660) 627-5757
(660) 627-5802
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2020022878
MO
1223D0001X
Public Health Dentistry
Primary
2020022878
MO
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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