Provider Demographics
NPI:1013027523
Name:WILLIAMS, LAURI M (DMD)
Entity Type:Individual
Prefix:DR
First Name:LAURI
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 1ST ST N
Mailing Address - Street 2:P.O. BOX 912
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8767
Mailing Address - Country:US
Mailing Address - Phone:205-664-2130
Mailing Address - Fax:205-664-0287
Practice Address - Street 1:219 1ST ST N
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8767
Practice Address - Country:US
Practice Address - Phone:205-664-2130
Practice Address - Fax:205-664-0287
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL50081223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL35721Medicare UPIN