Individual
DR. RICHARD ALLEN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
101 AVALON CT STE C, BRANDON, MS 39047-7641
(601) 919-2990
(601) 919-2990
Mailing address
101 AVALON CT STE C, BRANDON, MS 39047-7641
(601) 919-2990
(601) 919-2990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3189-01
MS
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3189-01
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00856316
—
MS
05
—
1720213788
—
MS
05
—
200000107
—
MS
Enumeration date
03/28/2007
Last updated
11/12/2024
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