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COLIN E WILLIAMS DDS PC NPI 1013211887


NPI Information

NPI: 1013211887
Provider Name: COLIN E WILLIAMS DDS PC

Doing Business As: STOCKBRIDGE FAMILY DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
153 N PARK TRL
STOCKBRIDGE, GA
ZIP 30281
Phone: (678) 289-5436
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COLIN E WILLIAMS DDS PC is a dental clinic center in Stockbridge, GA. COLIN E WILLIAMS DDS PC NPI is 1013211887. The provider is registered as an organization entity type.
The provider Is Doing Business As Stockbridge Family Dental.

The provider's business location address is:

153 N PARK TRL
STOCKBRIDGE, GA
ZIP 30281-373
Phone: (678) 289-5436
Fax: (678) 289-5438

The provider's authorized official is Colin E Williams .
The authorized official title is Dentist and has the following contact phone number (678) 289-5436.

The enumeration date for this NPI number is 1/7/2011 and was last updated on 1/7/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalDN013658GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1663050454AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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