Williams, Larry S
Williams, Larry S is an individual health care provider with primary practice located at 115 Business Loop 70 W , Columbia MO 65203-3244. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Williams, Larry S can be contacted via phone (573) 884-6253.Contact Information
Primary practice address
115 Business Loop 70 W
Columbia MO 65203-3244
Phone: (573) 884-6253
Fax: (573) 884-5390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DE011674 | Missouri |
Profile Details
| NPI number | 1518904259 |
|---|---|
| LBN Legal business name | Williams, Larry S |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Sep 25th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518904259 | NPPES |
| Missouri | MEDICAID | 400904629 |
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