Williams, Larry S

Williams, Larry S is an individual health care provider with primary practice located at 115 Business Loop 70 W , Columbia MO 65203-3244. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Williams, Larry S can be contacted via phone (573) 884-6253.

Contact Information

Primary practice address
115 Business Loop 70 W Columbia MO 65203-3244
Phone: (573) 884-6253
Fax: (573) 884-5390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DE011674 Missouri

Profile Details

NPI number 1518904259
LBN Legal business name Williams, Larry S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Sep 25th, 2008 - about 18 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 1518904259 NPPES
Missouri MEDICAID 400904629

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