Williams, Russell
Williams, Russell is an individual health care provider with primary practice located at 3007 Spring Mill Dr , Springfield IL 62704-6558. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Williams, Russell can be contacted via phone (217) 546-8100.Contact Information
Primary practice address
3007 Spring Mill Dr
Springfield IL 62704-6558
Phone: (217) 546-8100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | Illinois |
Profile Details
NPI number | 1386863629 |
---|---|
LBN Legal business name | Williams, Russell |
Credentials | DMD, MS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 25th, 2007 |
Last updated | Sep 19th, 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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