Individual
ROBIN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2650 BEACH BLVD, BILOXI, MS 39531-4517
(228) 400-4722
Mailing address
2650 BEACH BLVD, BILOXI, MS 39531-4517
(228) 400-4722
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4334-22
MS
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
51011
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
OR-6028-22
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051724
NYSED/OP
NY
01
—
4334-22
DENTAL BOARD MISSISSIPPI
MS
01
—
51011
DENTAL BOARD OF CALIFORNI
CA
01
—
OR-6028-22
DENTAL BOARD MISSISSIPPI SPECIALTY
MS
Enumeration date
10/25/2006
Last updated
04/17/2023
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