SearchMissouri1223G0001X

Detrich Williams

NPI 1326729419 · on the registry since 2023 · sole proprietor

Practice

Address
316 Rue Saint Francois St
Florissant, MO 63031
Phone
(314) 838-1167
Fax
(314) 838-0823
Organisation at this address
Smiles Dental Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri