Organization
JENNY MCWILLIAMS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN MCWILLIAMS (OFFICE MANAGER)
(812) 477-2836
Entity
Organization
Contact information
Practice address
701 N WEINBACH AVE, SUITE 910, EVANSVILLE, IN 47711-5990
(812) 477-2836
Mailing address
701 N WEINBACH AVE, SUITE 910, EVANSVILLE, IN 47711-5990
(812) 477-2836
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010009A
IN
1223P0221X
Pediatric Dentistry
12006664A
IN
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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