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Individual

DR. LEOTIS WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
5227 BESSEMER HIGHWAY, STE A, BESSEMER, AL 35020
(205) 424-0029
(205) 425-0069
Mailing address
PO BOX 28244, BIRMINGHAM, AL 35228
(205) 424-0029
(205) 425-0069

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LNO 3979
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008500690
AL
01
90152
BLUE CROSS
AL
Enumeration date
06/09/2008
Last updated
02/05/2014
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