Organization
SHANE WILLIAMS DMD PLLC
Active
Other names
Nashville Oral Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KEOUGH (CREDENTIALING SPECIALIST)
(405) 848-7974
Entity
Organization
Contact information
Practice address
2400 PATTERSON ST, STE 316, NASHVILLE, TN 37203-1562
(615) 327-3534
(615) 327-3552
Mailing address
PO BOX 26485, OKLAHOMA CITY, OK 73126-0485
(405) 848-7974
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9422
TN
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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