Organization
FREDERICK A. WILLIAMS,DMD , PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK ALLEN WILLIAMS DMD (DOCTOR)
(910) 754-6718
Entity
Organization
Contact information
Practice address
343 WHITEVILLE ROAD, SHALLOTTE, NC 28470
(910) 754-6718
(910) 754-4446
Mailing address
PO BOX 607, SHALLOTTE, NC 28459-0607
(910) 754-6718
(910) 754-4446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8995462
—
NC
Enumeration date
03/20/2008
Last updated
08/19/2010
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