Individual
DR. TIMOTHY V WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3801 GLENKERRY CT, PORTAGE, MI 49024-0718
(269) 323-1527
(269) 323-1670
Mailing address
3801 GLENKERRY CT, PORTAGE, MI 49024-0718
(269) 323-1527
(269) 323-1670
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901010754
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2992270
—
MI
05
—
3010673
—
MI
Enumeration date
03/29/2006
Last updated
06/08/2010
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