Williams, Vincent L

Williams, Vincent L is an individual health care provider with primary practice located at 590 Falls Ave , Twin Falls ID 83301-3314. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Williams, Vincent L can be contacted via phone (208) 734-3562.

Contact Information

Primary practice address
590 Falls Ave Twin Falls ID 83301-3314
Phone: (208) 734-3562
Fax: (208) 736-8339
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D1658-OS Idaho

Profile Details

NPI number 1376685982
LBN Legal business name Williams, Vincent L
Credentials DMD,PA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Nov 28th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376685982 NPPES
Idaho MEDICAID 805148000
Idaho MEDICAID 001226500
Idaho MEDICAID 001226600

Popular Providers