Raphael Ivan Williams in Saint Louis - Periodontics
Raphael Ivan Williams - NPI 1003021833
Raphael Ivan Williams is a Periodontics in Saint Louis, Missouri. Raphael Ivan Williams practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Raphael Ivan Williams is 1003021833. The last update date is 2007-07-08.
Raphael Ivan Williams's current location address is 8515 Delmar Blvd, Saint Louis, Missouri. You can contact this provider via phone number 3149938879. The mailing address for Raphael Ivan Williams is 8515 Delmar Blvd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raphael Ivan Williams |
|---|---|
| Address | 8515 Delmar Blvd, Saint Louis, Missouri |
| Phone Number | 3149938879 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1003021833 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8515 Delmar Blvd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631242168 |
| Phone Number | 3149938879 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 474 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Raphael Ivan Williams?
The Raphael Ivan Williams has been issued the NPI (National Provider Identifier) 1003021833 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Raphael Ivan Williams is physically located?
The Raphael Ivan Williams is physically situated at the following address: 8515 Delmar Blvd, Saint Louis, MO, 631242168.
What is Raphael Ivan Williams's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Raphael Ivan Williams is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.
When did Raphael Ivan Williams receive its 1003021833 assignment?
The Raphael Ivan Williams was assigned its 1003021833 on 2007-05-14, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Raphael Ivan Williams, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Raphael Ivan Williams, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.