Organization
JACQUES R. WILLIAMS DDS PC
Active
Other names
Uptown Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUES RAMONE WILLIAMS DDS (PRESIDENT)
(770) 942-4899
Entity
Organization
Contact information
Practice address
8415 CAMPBELLTON ST, DOUGLASVILLE, GA 30134-1876
(770) 942-4899
(770) 942-4859
Mailing address
8415 CAMPBELLTON ST, DOUGLASVILLE, GA 30134-1876
(770) 942-4899
(770) 942-4859
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN013290
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27000355
—
GA
Enumeration date
10/21/2008
Last updated
10/21/2008
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