Individual
DR. RICHARD A. WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
399 SOUTHCREST CT, SUITE B, SOUTHAVEN, MS 38671-4790
(662) 349-2196
(662) 349-8349
Mailing address
875 UNION AVE S-301, MEMPHIS, TN 38163-4790
(901) 448-6210
(901) 448-8358
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4569
TN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
MS 2039-83
MS
Other
Enumeration date
03/29/2007
Last updated
09/03/2020
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