Individual
RUSSELL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
3007 SPRING MILL DR, SPRINGFIELD, IL 62704-6558
(217) 546-8100
Mailing address
10220 N PAWNEE RD, PAWNEE, IL 62558-4559
(217) 546-8100
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IL
Other
Enumeration date
04/25/2007
Last updated
09/19/2007
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