Williams, Dennis Avery

Williams, Dennis Avery is an individual health care provider with primary practice located at 1400 E Downing St , Tahlequah OK 74464-3324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Williams, Dennis Avery can be contacted via phone (918) 456-0641.

Contact Information

Primary practice address
1400 E Downing St Tahlequah OK 74464-3324
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4141 Oklahoma

Profile Details

NPI number 1841206364
LBN Legal business name Williams, Dennis Avery
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Dec 9th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841206364 NPPES
Oklahoma MEDICAID 200089720A

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