| Williams Oral And Maxillofacial Surgery, Prof. L.l.c. | |
|
330 E Stumer Rd Rapid City SD 57701-6406 | |
| (605) 348-3400 | |
| (605) 348-1626 |
| Full Name | Williams Oral And Maxillofacial Surgery, Prof. L.l.c. |
|---|---|
| Speciality | Dentist |
| Location | 330 E Stumer Rd, Rapid City, South Dakota |
| Authorized Official Name and Position | Gregory P Williams (PRESIDENT) |
| Authorized Official Contact | 6053483400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williams Oral And Maxillofacial Surgery, Prof. L.l.c. 330 E Stumer Rd Rapid City SD 57701-6406 Ph: (605) 348-3400 | Williams Oral And Maxillofacial Surgery, Prof. L.l.c. 330 E Stumer Rd Rapid City SD 57701-6406 Ph: (605) 348-3400 |
| NPI Number | 1407091424 |
|---|---|
| Provider Enumeration Date | 12/04/2008 |
| Last Update Date | 12/04/2008 |
| Medicare PECOS PAC ID | 7810041258 |
|---|---|
| Medicare Enrollment ID | O20090819000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407091424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Gregory P Williams |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1720126220 PECOS PAC ID: 5294833158 Enrollment ID: I20070531000383 |
Dakota Regional Periodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2800 Jackson Blvd #6, Rapid City, SD 57702 Phone: 605-348-2556 Fax: 605-348-1526 | |
Nelson Dental & Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1611 Sheridan Lake Rd, Rapid City, SD 57702 Phone: 605-341-3670 | |
Evans Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Dakota Drive, Rapid City, SD 57702 Phone: 605-342-7777 Fax: 605-342-2275 | |
Carl R. Stonecipher Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2800 Jackson Blvd, Suite 9, Rapid City, SD 57702 Phone: 605-348-0831 Fax: 605-348-0602 | |
Lyde J. Adams, D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 W Main St, Ste # 206, Rapid City, SD 57702 Phone: 605-348-4868 Fax: 605-737-7870 | |
Dakota Dental 4 Kids Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5509 Bendt Dr Ste 302, Rapid City, SD 57702 Phone: 605-342-5995 | |
Brian G. Criss Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 Sheridan Lake Rd, Rapid City, SD 57702 Phone: 605-342-6652 Fax: 605-342-6656 |