Individual
DR. JACK LAWRENCE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5150 E STOP 11 RD, SUITE 11, INDIANAPOLIS, IN 46237-8628
(317) 889-6000
(317) 889-1618
Mailing address
5150 E STOP 11 RD, SUITE 11, INDIANAPOLIS, IN 46237-8628
(317) 889-6000
(317) 889-1618
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7400
IN
Other
Enumeration date
07/31/2006
Last updated
05/19/2016
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