Individual
ROBERT L WILLIAMSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
119 N BOYLAN AVE, RALEIGH, NC 27603-1445
(919) 828-3775
(919) 828-4937
Mailing address
PO BOX 10401, RALEIGH, NC 27605
(919) 828-3775
(919) 828-4937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7038
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902EJ
—
NC
01
—
902EJ
BLUE CROSS
NC
Enumeration date
08/15/2006
Last updated
04/16/2008
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