Individual
DR. GREGORY P WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
330 E STUMER RD, RAPID CITY, SD 57701-6406
(605) 348-3400
(605) 348-1626
Mailing address
330 E STUMER RD, RAPID CITY, SD 57701-6406
(605) 348-3400
(605) 348-1626
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
M808
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8000390
—
SD
Enumeration date
02/05/2007
Last updated
06/28/2016
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