Provider Demographics
NPI:1518971530
Name:BRANHAM-WILLIAMS, JAMIE KATHLEEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:KATHLEEN
Last Name:BRANHAM-WILLIAMS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:828 A ST NW
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:OK
Mailing Address - Zip Code:74354-4605
Mailing Address - Country:US
Mailing Address - Phone:918-542-7645
Mailing Address - Fax:918-919-5288
Practice Address - Street 1:828 A ST NW
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:OK
Practice Address - Zip Code:74354-4605
Practice Address - Country:US
Practice Address - Phone:918-542-7645
Practice Address - Fax:918-919-5288
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA08398122300000X
OK6168122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist