Provider Demographics
NPI:1033504808
Name:WILLIAMS, ROBERT MOODY JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MOODY
Last Name:WILLIAMS
Suffix:JR
Gender:M
Credentials:DDS
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Mailing Address - Street 1:3580 PIEDMONT RD NE
Mailing Address - Street 2:#222
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1506
Mailing Address - Country:US
Mailing Address - Phone:404-233-1155
Mailing Address - Fax:404-237-3337
Practice Address - Street 1:3580 PIEDMONT RD NE
Practice Address - Street 2:#222
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-1506
Practice Address - Country:US
Practice Address - Phone:404-233-1155
Practice Address - Fax:404-237-3337
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
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Provider Licenses
StateLicense IDTaxonomies
GADNO100971223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics