National Provider Identifier Database

WILLIAMS ORAL AND MAXILLOFACIAL SURGERY
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

WILLIAMS ORAL AND MAXILLOFACIAL SURGERY
330 E STUMER RD
RAPID CITY, SD57701-6406
Phone: 605-348-3400
Fax: 605-348-1626
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for WILLIAMS ORAL AND MAXILLOFACIAL SURGERY

NPI Number 1659543973
Legal business name
LBN
WILLIAMS ORAL AND MAXILLOFACIAL SURGERY
Authorized official GREGORY WILLIAMS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/26/2008
Last updated 03/26/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • SD License #: M808
  • SD Medicaid: 8000390
  • Other: 0003519 BLUE CROSS BLUE SHIELD
  • Other: 690846 UNITED CONCORDIA

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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