Individual
LAQUINTA SHARELLE ELIM WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4045 JIMMIE DYESS PKWY STE 102, AUGUSTA, GA 30909-9492
(706) 868-4200
(706) 868-4717
Mailing address
4045 JIMMIE DYESS PKWY STE 102, AUGUSTA, GA 30909-9492
(706) 868-4200
(706) 868-4717
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
DGD11227
SC
1223P0221X
Pediatric Dentistry
Primary
DGD11275
SC
1223P0221X
Pediatric Dentistry
DN015723
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DGD11227
SC
SC
01
—
DGD11275
SPECIALIST
SC
01
—
DN015723
GA DENTAL BOARD
GA
Enumeration date
07/17/2018
Last updated
04/02/2026
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