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Michael E. Williamson D.M.D, P.C.

Clinic/Center, Dental in Boaz, AL. Organization (NPI-2).

NPI number1417411745
StatusActive
Last updated in NPPESJun 11, 2019

Details

NPI
1417411745
Entity type
Organization (NPI-2)
Legal business name
Michael E. Williamson D.M.D, P.C.
Organization subpart
No
Enumeration date
Jan 31, 2019
Last updated
Jun 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Other names

  • Michael E. Williamson D.M.D, P.C. (Former Legal Business Name)

Practice location

701 Medical Center Pkwy
Boaz, AL 35957-5938

Phone 256-593-3211 · Fax 256-593-3225

Mailing address

701 Medical Center Pkwy
Boaz, AL 35957-5938

Phone 256-593-3211 · Fax 256-593-3225

Authorized official

Michael Edward Williamson
Doctor
2565933211

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