Individual
NATHANIEL DAVID WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7540
Mailing address
1613 FENTON AVE, SAINT JOHNS, FL 32259-7289
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6106
NV
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN23570
FL
Other
Enumeration date
07/18/2011
Last updated
07/28/2020
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