Tyjuan Marcquell Williams in Augusta - Dentist
Tyjuan Marcquell Williams - NPI 1164684403
Tyjuan Marcquell Williams is a Dentist in Augusta, Georgia. Tyjuan Marcquell Williams practices all healthcare services and medical treatments related to Dentist. The NPI Number for Tyjuan Marcquell Williams is 1164684403. The last update date is 2013-10-31.
Tyjuan Marcquell Williams's current location address is 4045 Jimmie Dyess Pkwy, Augusta, Georgia. You can contact this provider via phone number 7068684200 and fax number 7068684717. The mailing address for Tyjuan Marcquell Williams is 4045 Jimmie Dyess Pkwy, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tyjuan Marcquell Williams |
|---|---|
| Address | 4045 Jimmie Dyess Pkwy, Augusta, Georgia |
| Phone Number | 7068684200 |
| Fax Number | 7068684717 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1164684403 |
|---|---|
| Provider Enumeration Date | 2008-06-27 |
| Last Updated Date | 2013-10-31 |
Provider Mailing Address Detail
| Address | 4045 Jimmie Dyess Pkwy |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309099491 |
| Phone Number | 7068684200 |
| Fax Number | 7068684717 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN013725 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003107901B | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tyjuan Marcquell Williams?
The Tyjuan Marcquell Williams has been issued the NPI (National Provider Identifier) 1164684403 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Tyjuan Marcquell Williams's facilities are geographically located?
The facilities of Tyjuan Marcquell Williams are physically situated at the following location: 4045 Jimmie Dyess Pkwy, Augusta, GA, 309099491.
What is the Tyjuan Marcquell Williams's specialty and taxonomy code?
The Tyjuan Marcquell Williams's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Tyjuan Marcquell Williams receive its 1164684403 assignment from the Centers for Medicare & Medicaid Services?
The Tyjuan Marcquell Williams was assigned its 1164684403 by the Centers for Medicare & Medicaid Services on 2008-06-27.
As of what date was the information pertaining to Tyjuan Marcquell Williams, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tyjuan Marcquell Williams, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-10-31.