Williams, James R

Williams, James R is an sole proprietor health care provider with primary practice located at 520 4Th St S , Sauk Centre MN 56378-1210. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Williams, James R can be contacted via phone (320) 352-2171.

Contact Information

Primary practice address
520 4Th St S Sauk Centre MN 56378-1210
Phone: (320) 352-2171
Fax: (320) 352-2171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 09691 Minnesota

Profile Details

NPI number 1962598235
LBN Legal business name Williams, James R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1962598235 NPPES
Minnesota Other 0034820100 MEDICAL ASSISTANCE

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