Bradley Emmett Williams in Pelahatchie - General Practice

Bradley Emmett Williams - NPI 1720098908

Bradley Emmett Williams is a General Practice in Pelahatchie, Mississippi. Bradley Emmett Williams practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bradley Emmett Williams is 1720098908. The last update date is 2007-07-08.

Bradley Emmett Williams's current location address is 107 N Brooks St, Pelahatchie, Mississippi. You can contact this provider via phone number 6018545001 and fax number 6018546198. The mailing address for Bradley Emmett Williams is 107 N Brooks St, Pelahatchie, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley Emmett Williams
Address 107 N Brooks St, Pelahatchie, Mississippi
Phone Number 6018545001
Fax Number 6018546198
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1720098908
Provider Enumeration Date 2006-08-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 107 N Brooks St
City Pelahatchie
State Mississippi (MS)
Post Code 391453091
Phone Number 6018545001
Fax Number 6018546198

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 269896
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
660353 MS --

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FAQs about Bradley Emmett Williams

What is the unique identifier code issued to Bradley Emmett Williams by the Centers for Medicare & Medicaid Services?

The Bradley Emmett Williams has been assigned the NPI (National Provider Identifier) 1720098908. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Bradley Emmett Williams is physically located?

The Bradley Emmett Williams is physically situated at the following address: 107 N Brooks St, Pelahatchie, MS, 391453091.

What is the Bradley Emmett Williams's specialty and taxonomy code?

The Bradley Emmett Williams's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did Bradley Emmett Williams receive its 1720098908 assignment from the Centers for Medicare & Medicaid Services?

The Bradley Emmett Williams was assigned its 1720098908 on 2006-08-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Bradley Emmett Williams, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Bradley Emmett Williams, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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