| Nathan D. Williamson, D.M.D. LLC | |
|
240 Admiral Trost Rd Columbia IL 62236-2163 | |
| (618) 400-0550 | |
| (618) 400-0824 |
| Full Name | Nathan D. Williamson, D.M.D. LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 240 Admiral Trost Rd, Columbia, Illinois |
| Authorized Official Name and Position | Nathan David Williamson (DENTIST/OWNER) |
| Authorized Official Contact | 6182817300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan D. Williamson, D.M.D. LLC 240 Admiral Trost Rd Columbia IL 62236-2163 Ph: (618) 400-0550 | Nathan D. Williamson, D.M.D. LLC 240 Admiral Trost Rd Columbia IL 62236-2163 Ph: (618) 400-0550 |
| NPI Number | 1770010100 |
|---|---|
| Provider Enumeration Date | 05/16/2017 |
| Last Update Date | 12/21/2021 |
| Certification Date | 12/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770010100 | NPI | - | NPPES |
| 1366864589 | Other | IL | DR. MATTHEW HAARMANN |
| 1770010100 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019027747 (Illinois) | Primary |
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