Individual
DR. BRADLEY EMMETT WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
107 N BROOKS ST, PELAHATCHIE, MS 39145-3091
(601) 854-5001
(601) 854-6198
Mailing address
107 N BROOKS ST, PELAHATCHIE, MS 39145-3091
(601) 854-5001
(601) 854-6198
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
269896
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660353
—
MS
Enumeration date
08/09/2006
Last updated
07/08/2007
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