Williams, James D

Williams, James D is an sole proprietor health care provider with primary practice located at 6401 Citation Dr Ste B, Clarkston MI 48346-2992. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Williams, James D can be contacted via phone (248) 625-2011.

Contact Information

Primary practice address
6401 Citation Dr Ste B Clarkston MI 48346-2992
Phone: (248) 625-2011
Fax: (248) 625-9728
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 012419 Michigan

Profile Details

NPI number 1003812397
LBN Legal business name Williams, James D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Jul 16th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003812397 NPPES
Michigan MEDICAID 12160687
Michigan Other JW012419

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