Organization
RULEVILLE DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A WILLIAMS DMD (OWNER /DOCTOR)
(662) 756-0000
Entity
Organization
Contact information
Practice address
102 N RUBY AVE, RULEVILLE, MS 38771-3940
(662) 756-0000
(662) 756-0017
Mailing address
PO BOX 547, RULEVILLE, MS 38771-0547
(662) 756-0000
(662) 756-0000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08172727
—
MS
Enumeration date
02/01/2008
Last updated
02/01/2008
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