Individual
DR. KEITH T WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3450 COBB PKWY NW STE 160, ACWORTH, GA 30101-8379
(770) 222-2322
Mailing address
83 MOUNT VERNON CIR, ATLANTA, GA 30338-5435
(248) 943-4817
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
DN015235
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN015235
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5236061
—
MI
Enumeration date
10/03/2007
Last updated
03/20/2023
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