Individual
MR. TRACY LEE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
68 OLD AIRPORT RD, HATTIESBURG, MS 39401-8382
(601) 583-4800
(015) 847-7696
Mailing address
68 OLD AIRPORT RD, HATTIESBURG, MS 39401-8382
(601) 583-4800
(015) 847-7696
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3469-08
MS
1223G0001X
General Practice Dentistry
Primary
3469-08
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125741
—
MS
Enumeration date
07/10/2008
Last updated
02/11/2025
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