Individual
JEREMY VINCENT WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7023 READ LN, NEW ORLEANS, LA 70127-2366
(504) 244-0177
Mailing address
2724 WOODMERE BLVD, HARVEY, LA 70058-2031
(504) 495-5844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7143
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7143
PRIVATE INSURANCE
LA
05
—
7143
—
LA
Enumeration date
10/12/2020
Last updated
10/12/2020
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