| F Stan Williams DDS LLC | |
|
2502 William St Suite 2a Cape Girardeau MO 63703-5763 | |
| (573) 335-5700 | |
| (573) 803-1709 |
| Full Name | F Stan Williams DDS LLC |
|---|---|
| Speciality | Dentist |
| Location | 2502 William St, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Freeman Stanley Williams (OWNER) |
| Authorized Official Contact | 5733355700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| F Stan Williams DDS LLC 2502 William St Suite 2a Cape Girardeau MO 63703-5763 Ph: (573) 335-5700 | F Stan Williams DDS LLC 2502 William St Suite 2a Cape Girardeau MO 63703-5763 Ph: (573) 335-5700 |
| NPI Number | 1952766487 |
|---|---|
| Provider Enumeration Date | 12/29/2015 |
| Last Update Date | 12/29/2015 |
| Medicare PECOS PAC ID | 8921397860 |
|---|---|
| Medicare Enrollment ID | O20160517001822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952766487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 015047 (Missouri) | Primary |
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